NPI 1003672759

Reva Olivia Rush Daniels

Practitioner Behavior Technician Saint Cloud, MN

Practice location

Address: 108 Doctors Park, Saint Cloud, MN 56303-1207
Phone: (320) 774-3915
Fax: (320) 774-3918

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Minnesota →

Registry record

NPI: 1003672759
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Feb 2024
Record last updated: 21 Feb 2024

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.