IndividualActive
Alan Irvin
NPI 1255934279 · Behavior Technician · Eagan, MN
Provider details
- NPI number
- 1255934279
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 106S00000X (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
4635 Nicols Rd # 104
Eagan, MN 55122-3337
Phone: (612) 289-6480
Approximate (ZIP-level) locationGet directions
Mailing address
4635 Nicols Rd # 104
Eagan, MN 55122-3337
Registry dates
- Enumerated
- 2020-11-20
- Last updated
- 2020-11-20
- Certified
- 2020-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.