Individual
ASHLEY LIVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
570 FLORENCE AVE, MAHTOMEDI, MN 55115-2027
(520) 373-9147
Mailing address
570 FLORENCE AVE, MAHTOMEDI, MN 55115-2027
(520) 373-9147
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
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