Charles John Poth
Charles John Poth is a Behavior Technician in Eagan, Minnesota. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
4635 Nicols Rd Apt 104Eagan, MN 55122-3337
Phone: (612) 289-6480
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1336027507 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 25, 2025 |
| Last updated in NPPES | August 25, 2025 |
| Certification date | August 25, 2025 |
| Mailing address | 4635 Nicols Rd Apt 104, Eagan, MN 55122-3337 |
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