NPI 1003558727

Angelique Khaliah King

Practitioner Behavior Technician Bloomington, MN

Practice location

Address: 9201 Old Cedar Ave S, Bloomington, MN 55425-2401
Phone: (952) 854-1800
Fax: (952) 854-5502

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Minnesota →

Registry record

NPI: 1003558727
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Apr 2022
Record last updated: 12 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.