Alexabae Ann Khamsaensouk

Behavior Technician · Sartell, MN

Individual Active NPI

NPI number 1477204741

Practice location

205 14TH Ave E
Sartell, MN 56377-4500
Phone
(320) 774-3436
Fax
(320) 774-3440

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NPI record

NPI
1477204741
Entity type
Individual (Type 1)
Enumeration date
January 18, 2022
Last updated
January 18, 2022
Certified
January 18, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

About Alexabae Khamsaensouk

Alexabae Ann Khamsaensouk is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 205 14TH Ave E, Sartell, MN 56377-4500. The NPI number 1477204741 was assigned on January 18, 2022 and the record was last updated on January 18, 2022.

Frequently asked questions

What is the NPI number of Alexabae Ann Khamsaensouk?

The NPI number is 1477204741.

What is the phone number of Alexabae Khamsaensouk?

The phone number listed for the practice location is (320) 774-3436.

Where is Alexabae Khamsaensouk located?

205 14TH Ave E, Sartell, MN 56377-4500.

What is the taxonomy code for Alexabae Khamsaensouk?

The primary taxonomy code is 106S00000X – Behavior Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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