Healthcare Provider Details

I. General information

NPI: 1285102814
Provider Name (Legal Business Name): SLOANE HOVAN MA, BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/13/2018
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5860 BAKER RD
MINNETONKA MN
55345-5903
US

IV. Provider business mailing address

5860 BAKER RD
MINNETONKA MN
55345-5903
US

V. Phone/Fax

Practice location:
  • Phone: 952-767-4200
  • Fax:
Mailing address:
  • Phone: 952-767-4200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-21-50829
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: