Individual
SHARI JEAN BRENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
819 11TH AVE N, SAINT CLOUD, MN 56303-2952
(320) 828-3507
Mailing address
819 11TH AVE N, SAINT CLOUD, MN 56303-2952
(320) 828-3507
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-40433
MN
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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