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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BREANNA NICOLE LARSEN

Active

BREANNA NICOLE LARSEN is a Behavior Technician healthcare provider located in LITTLE CANADA, Minnesota. NPI 1467146506 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · LITTLE CANADA, MN

Registration Details

NPI Number
1467146506
Provider Type
Individual
Gender
Female
NPI Issued
Jun 2, 2023 (3.2276974932498 yrs)
Last Updated
Jun 10, 2023

Practice Information

Address
938 WINDROW DR
LITTLE CANADA, MN, 551091033
Browse MN providers · Browse ZIP 55109
Phone
6533521256
Primary Specialty
Behavior Technician
106S00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.