Evan Carl Swaggert Larson
Evan Carl Swaggert Larson is a Behavior Technician in Mankato, Minnesota. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1720 Bassett DrMankato, MN 56001-6569
Phone: (507) 682-7100
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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 | 1356065304 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 3, 2022 |
| Last updated in NPPES | October 3, 2022 |
| Certification date | October 3, 2022 |
| Mailing address | 1720 Bassett Dr, Mankato, MN 56001-6569 |
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