NICHOLAS EDWARD LANGE

BURNSVILLE, MN
NPI1922816982
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2024-12-23
Last Update Date2024-12-23
Business Address
NICHOLAS EDWARD LANGE
1517 HIGHWAY 13 E
BURNSVILLE, MN 55337-2917
Phone number: 612-756-9107
Mailing Address
NICHOLAS EDWARD LANGE
3301 COACHMAN RD APT 119
EAGAN, MN 55121-2801
Phone number: 612-799-3062