NPI 1003591470
Leeban Gulled
Practice location
- Address
- 1501 Southcross Dr W, Burnsville, MN 55306-6938
- Phone
- (952) 456-1474
Registered specialties
Behavior Technician
Primary
Registry record
- NPI
- 1003591470
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 21 Jun 2023
- Record last updated
- 21 Jun 2023
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.