(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003532508
Provider Name: MICAH ALICIA HERNDON
Entity Type: Individual
Taxonomy Code: 103K00000X
Specialty: Behavior Analyst
License Number:
Most Important Dates
Enumeration Date: 10/17/2022
Last Updated: 10/17/2022
Provider Practice Location
3333 UNIVERSITY AVE SE
MINNEAPOLIS
MN
554143325
Practice Location Phone/Fax
Phone: 2015893367
Fax:
Provider Mailing Location
3333 UNIVERSITY AVE
MINNEAPOLIS
MN
554142305
Provider Mailing Phone/Fax
Phone: 6123319413
Fax: