Laecretia Anisa Moallim
Laecretia Anisa Moallim is a Behavior Analyst in Minneapolis, Minnesota. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1600 Broadway St NE # 250Minneapolis, MN 55413-2617
Phone: (952) 303-5803
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Specialties & licences
| Behavior Analyst (primary) | Taxonomy 103K00000X |
|---|
Record details
| NPI number | 1053098723 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 3, 2023 |
| Last updated in NPPES | July 3, 2023 |
| Certification date | July 3, 2023 |
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