Sally Bodlovick
Individual provider Active NPI Behavior Technician · Mankato, MN
NPI 1033829064 · NPPES record last updated Nov 30, 2022
Key facts
- NPI
- 1033829064
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1720 Bassett Dr
Mankato, MN 56001-6569 - Phone
- (507) 682-7100
- NPI assigned
- Nov 30, 2022
- 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
1720 Bassett Dr
Mankato, MN 56001-6569
Mailing address
1720 Bassett Dr
Mankato, MN 56001-6569
Other providers in Mankato, MN
- Blue Earth County Transportation LLC
- Rebecca Lee Blum
- Stephanie Kay Blume
- Debra Ann Bobendrier
- Bodikey Physical Therapy, LLC
- Lindsey Elaine Boerger
- Julieann Ingberg Boertje
- Emily Elizabeth Boettcher
- Kelly Ann Boettcher
- Taylor Marie Boettcher
All providers in Mankato, 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 Nov 30, 2022. 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.