| Kavana Care Mn Llc | |
|
5201 Eden Ave Edina MN 55436-2316 | |
| (516) 371-9500 | |
| Not Available |
| Full Name | Kavana Care Mn Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5201 Eden Ave, Edina, Minnesota |
| Authorized Official Name and Position | Samuel Tennenbaum (SOLE MBR) |
| Authorized Official Contact | 5163719500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kavana Care Mn Llc 5201 Eden Ave Ste 300 Edina MN 55436-2315 Ph: () - | Kavana Care Mn Llc 5201 Eden Ave Edina MN 55436-2316 Ph: (516) 371-9500 |
| NPI Number | 1568354991 |
|---|---|
| Provider Enumeration Date | 07/18/2025 |
| Last Update Date | 07/18/2025 |
| Certification Date | 07/18/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568354991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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