Whalio Doctors

NPI 1023628708

Timothy Chester Larson, MSBCBA

Practitioner Behavior Analyst Minneapolis, MN

Practice location

Address
3333 University Ave SE, Minneapolis, MN 55414-3325
Phone
(860) 235-8454

Registered specialties (2)

Behavior Analyst Primary
Behavioral Health & Social Service Providers Taxonomy 103K00000X
Behavior Technician
Behavioral Health & Social Service Providers Taxonomy 106S00000X

Registry record

NPI
1023628708
Entity type
Individual
Sex (as registered)
Male
NPI issued
6 Aug 2020
Record last updated
18 Nov 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.