Nicole Renae Benson
Individual provider Active NPI Behavior Technician · Austin, MN
NPI 1003751553 · NPPES record last updated Apr 21, 2026
Key facts
- NPI
- 1003751553
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 111 11TH Ave NE
Austin, MN 55912 - Phone
- (952) 767-4200
- Fax
- (952) 767-4211
- NPI assigned
- Apr 21, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
111 11TH Ave NE
Austin, MN 55912
Mailing address
5868 Baker Rd
Minnetonka, MN 55345
Phone (952) 767-4200
Other providers in Austin, MN
- Rebekah Bathon
- Linda Ann Baumann
- Tianna Lynn Bechly
- Julie Kay Beckmann
- Kaylie Rae Bellrichard
- Debra K Berg
- Richard Mark Bergen
- Elizabeth Sherrill Bermudez
- Sumit Bhagra
- James Michael Bisanti
All providers in Austin, MN · Behavior Technician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.