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NPI Code Detail

MEDICARE: MICHELLE DAWN O'NEILL

MEDICARE: MICHELLE DAWN O'NEILL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1247200000XOther Technician
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1942689187
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE DAWN O'NEILL
Provider Business Mailing Address
First Line : 3501 ALDRICH AVE S
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55408-4149
Country : US
Telephone Number : 920-393-8320
Fax Number :
Provider Business Practice Location Address
First Line : 3501 ALDRICH AVE S
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55408-4149
Country : US
Telephone Number : 920-393-8320
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2015
Last Update Date : 08/14/2022

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