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1003532508
MICAH ALICIA HERNDON
MINNEAPOLIS, MN
NPI
1003532508
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
103K00000X Behavior Analyst
Enumeration Date
2022-10-17
Last Update Date
2022-10-17
Business Address
MICAH ALICIA HERNDON
3333 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414-3325
Phone number: 201-589-3367
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Mailing Address
MICAH ALICIA HERNDON
3333 UNIVERSITY AVE
MINNEAPOLIS, MN 55414-2305
Phone number: 612-331-9413
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