NPI 1942965413

Holland Berklee Hayes

Practitioner Behavior Technician Prior Lake, MN

Practice location

Address: 4532 204th St E, Prior Lake, MN 55372-7507
Phone: (952) 913-4883
Mailing address: 10450 185th St W STE 100, Lakeville, MN 55044-6696

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1942965413
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Nov 2021
Record last updated: 1 Nov 2021

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.