NPI 1144817313
Diane Atsidakos
Practice location
- Address
- 7615 Golden Triangle Dr STE a, Eden Prairie, MN 55344-3733
- Phone
- (612) 400-6119
- Mailing address
- 3527 Kady Ave NE, Saint Michael, MN 55376-3090
Registered specialties (2)
Behavior Analyst
Primary
Behavior Technician
Registry record
- NPI
- 1144817313
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 22 Dec 2020
- Record last updated
- 11 Aug 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.