Booth, Victoria

Booth, Victoria is an individual health care provider with primary practice located at 2060 Centre Pointe Blvd Ste 3 , Mendota Heights MN 55120-1271. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Booth, Victoria can be contacted via phone (866) 822-7464.

Contact Information

Primary practice address
2060 Centre Pointe Blvd Ste 3 Mendota Heights MN 55120-1271
Phone: (866) 822-7464
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1902579378
LBN Legal business name Booth, Victoria
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2021
Last updated Jul 30th, 2021 - about 5 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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