Individual
LAURA LARSON-CODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1801 AMBER AVE S, SARTELL, MN 56377-7507
(218) 287-4338
(320) 774-3440
Mailing address
1547 30TH AVE S, MOORHEAD, MN 56560-5149
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-59980
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/30/2019
Last updated
12/07/2023
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