Most Relevant Information
Provider Data
| NPI Number: | 1003481821 |
| Provider Name: | ASHLYN RIAN LORENSON |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/24/2021 |
| Last Updated: | 05/24/2021 |
Provider Practice Location
14301 EWING AVE S
BURNSVILLE
MN
553064885
Practice Location Phone/Fax
| Phone: | 9527465350 |
| Fax: |
Provider Mailing Location
1509 SOUTHCROSS DR W
BURNSVILLE
MN
553066945
Provider Mailing Phone/Fax
| Phone: | 9524919810 |
| Fax: |