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General NPI Number Information
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NPI Number | 1831679364
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Entity Type | Individual
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Provider Name | ELIZABETH WEHRHEIM PH.D, LP, BCBA
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Gender | Female
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Dates
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Enumeration Date | 08/15/2018
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Last Update Date | 05/18/2025
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Provider Practice Location Address
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Address Line | 7901 XERXES AVE S STE 110
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City | BLOOMINGTON
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State | MN
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Zip | 55431-1200
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Country | US
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Telephone | 763-607-7817
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Fax | 612-662-8779
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Provider Business Mailing Address
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Address Line | 2810 W 60TH ST
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City | MINNEAPOLIS
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State | MN
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Zip | 55410-2904
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Country | US
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Telephone | 708-560-3985
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-16-22992
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | L6322
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License Number State | MN
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