Individual
AMELIA BAXLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8416 XERXES AVE N, BROOKLYN PARK, MN 55444-1469
(651) 493-5102
Mailing address
8416 XERXES AVE N, BROOKLYN PARK, MN 55444-1469
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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