Most Relevant Information
Provider Data
| NPI Number: | 1003565870 |
| Provider Name: | EDEN MARIE BARRY |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/21/2022 |
| Last Updated: | 03/21/2022 |
Provider Practice Location
10450 185TH ST W STE 100
LAKEVILLE
MN
550446696
Practice Location Phone/Fax
| Phone: | 6125096690 |
| Fax: |
Provider Mailing Location
10450 185TH ST W STE 100
LAKEVILLE
MN
550446696
Provider Mailing Phone/Fax
| Phone: | 6125096690 |
| Fax: |