Larsgard, Kelly Jean

Larsgard, Kelly Jean is an individual health care provider with primary practice located at 2600 Fernbrook Ln N Ste 138 , Plymouth MN 55447-4752. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Larsgard, Kelly Jean can be contacted via phone (763) 301-2059.

Contact Information

Primary practice address
2600 Fernbrook Ln N Ste 138 Plymouth MN 55447-4752
Phone: (763) 301-2059
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1598387441
LBN Legal business name Larsgard, Kelly Jean
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2020
Last updated May 14th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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