Most Relevant Information
Provider Data
| NPI Number: | 1003592650 |
| Provider Name: | MELISSA BECERRA |
| 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
6701 PARKWAY CIR STE 300
MINNEAPOLIS
MN
554302849
Practice Location Phone/Fax
| Phone: | 6127677222 |
| Fax: |
Provider Mailing Location
6701 PARKWAY CIR STE 300
MINNEAPOLIS
MN
554302849
Provider Mailing Phone/Fax
| Phone: | 6127677222 |
| Fax: |