Individual
MIKENNA MARIE MORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Contact information
Practice address
5010 CHESHIRE LN N STE 1, PLYMOUTH, MN 55446-3863
(507) 353-3012
Mailing address
5010 CHESHIRE LN N STE 1, PLYMOUTH, MN 55446-3863
(612) 445-8316
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA0126
MN
Other
Enumeration date
02/08/2021
Last updated
12/05/2025
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