Atsidakos, Diane

Atsidakos, Diane is an individual health care provider with primary practice located at 7615 Golden Triangle Dr Ste A , Eden Prairie MN 55344-3733. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Atsidakos, Diane can be contacted via phone (612) 400-6119.

Contact Information

Primary practice address
7615 Golden Triangle Dr Ste A Eden Prairie MN 55344-3733
Phone: (612) 400-6119
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1144817313
LBN Legal business name Atsidakos, Diane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2020
Last updated Aug 11th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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