John Lewis
Individual provider Active NPI Behavior Technician · Albertville, MN
NPI 1043849136 · NPPES record last updated May 27, 2020
Key facts
- NPI
- 1043849136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 11575 E Laketowne Dr
Albertville, MN 55301-4348 - Phone
- (248) 436-4400
- NPI assigned
- Apr 2, 2020
- Sex
- Male
- 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
11575 E Laketowne Dr
Albertville, MN 55301-4348
Mailing address
11575 E Laketowne Dr
Albertville, MN 55301-4348
Phone (248) 436-4400
Other providers in Albertville, MN
- Brent Larson
- Connor Charles Larson
- Meredith Larson
- Donna Lee
- Sheng Lei
- Gracie Lien
- Lionheart Dental, PLLC
- Faith G Lira
- Majch Home Care LLP
- Marketplace Pharmacy LLC
All providers in Albertville, 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 May 27, 2020. 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.