Larson, Sade Alisia

Larson, Sade Alisia is an individual health care provider with primary practice located at 205 14Th Ave E , Sartell MN 56377-4500. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Larson, Sade Alisia can be contacted via phone (320) 774-3436.

Contact Information

Primary practice address
205 14Th Ave E Sartell MN 56377-4500
Phone: (320) 774-3436
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1497360200
LBN Legal business name Larson, Sade Alisia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2020
Last updated Sep 9th, 2020 - 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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