IndividualActive
Desare Fleming
NPI 1336037092 · Behavior Technician · Champlin, MN
Provider details
- NPI number
- 1336037092
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
7133 116th Pl N
Champlin, MN 55316-2879
Phone: (612) 251-2366
Approximate (ZIP-level) locationGet directions
Mailing address
7133 116th Pl N
Champlin, MN 55316-2879
Registry dates
- Enumerated
- 2025-06-24
- Last updated
- 2025-06-24
- Certified
- 2025-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.