NPI 1003676487

Fantasia More

Practitioner Behavior Technician Coon Rapids, MN

Practice location

Address: 3111 124th Ave NW STE 150, Coon Rapids, MN 55433-4581
Phone: (763) 272-5877

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Minnesota →

Registry record

NPI: 1003676487
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Mar 2024
Record last updated: 21 Mar 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.