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Individual

BETHANI J BURGGRAFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., BCBA

Contact information

Practice address
2925 DEAN PKWY STE 300, MINNEAPOLIS, MN 55416-7700
(612) 925-8366
Mailing address
11150 PHEASANT LN N, MAPLE GROVE, MN 55369-7634
(612) 210-0567

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-05-2536
MN
174400000X
Specialist
1-05-2536

Other

Enumeration date
05/03/2007
Last updated
01/08/2019
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