Individual
CIERRA ANN FREEMAN HUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1100 E 156TH ST, BURNSVILLE, MN 55306-5112
(515) 231-0005
Mailing address
1100 E 156TH ST, BURNSVILLE, MN 55306-5112
(515) 231-0005
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-26269
MN
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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