Individual
JANET DIANE ZUKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
2925 DEAN PKWY STE 300, MINNEAPOLIS, MN 55416-7700
(612) 925-8365
Mailing address
1758 EDWARD ST, MAPLEWOOD, MN 55109-4214
(651) 468-8284
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-31691
MN
Other
Enumeration date
03/09/2019
Last updated
10/07/2019
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