Most Relevant Information
Provider Data
| NPI Number: | 1003592551 |
| Provider Name: | CARLY LOUISE LINDBERG |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/27/2023 |
| Last Updated: | 06/27/2023 |
Provider Practice Location
205 14TH AVE E
SARTELL
MN
563774500
Practice Location Phone/Fax
| Phone: | 3207743436 |
| Fax: | 3207743440 |
Provider Mailing Location
205 14TH AVE E
SARTELL
MN
563774500
Provider Mailing Phone/Fax
| Phone: | 3207743436 |
| Fax: | 3207743440 |