Sophie Samantha Balster Valid NPI
Individual provider · Behavior Technician · Baxter, MN
- NPI
- 1639811367
- Type
- Individual (Type 1)
- Primary specialty
- Behavior Technician
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 106S00000X
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2022-04-12
- Last updated
- 2022-04-12
Practice location
7938 College Rd
Baxter, MN 56425-8636
(218) 270-2918