LARISSA FOSSUM, BEHAVIORAL TECH

Behavior Technician

Active Individual
NPI: 1487438081

Practice Address

101 W 2ND ST
Duluth, MN 55802

Phone: (218) 724-3122

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1487438081 is the National Provider Identifier for LARISSA FOSSUM, BEHAVIORAL TECH, a Behavior Technician provider located in Duluth, MN. This NPI was enumerated on August 23, 2023.
LARISSA FOSSUM, BEHAVIORAL TECH practices at 101 W 2ND ST, Duluth, MN 55802.

Quick Facts

NPI
1487438081
Type
Individual
Enumerated
Aug 23, 2023
Last Updated
Aug 23, 2023

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