Deasiah Mashawn Randle
Deasiah Mashawn Randle is a Behavior Technician in Eagan, Minnesota. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
4625 Nicols Rd Ste 104Eagan, MN 55122-2307
Phone: (952) 456-1639
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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 | 1174206098 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 8, 2023 |
| Last updated in NPPES | August 8, 2023 |
| Certification date | August 8, 2023 |
| Mailing address | 4625 Nicols Rd Ste 104, Eagan, MN 55122-2307 |
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