Larsen, Breanna Nicole

Larsen, Breanna Nicole is an individual health care provider with primary practice located at 938 Windrow Dr , Little Canada MN 55109-1033. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Larsen, Breanna Nicole can be contacted via phone (653) 352-1256.

Contact Information

Primary practice address
938 Windrow Dr Little Canada MN 55109-1033
Phone: (653) 352-1256
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1467146506
LBN Legal business name Larsen, Breanna Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2023
Last updated Jun 10th, 2023 - about 3 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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