NPIMap

Sarah Marie Vonderharr

Individual provider Active NPI Behavior Technician · Montevideo, MN

NPI 1083230239 · NPPES record last updated Jul 13, 2020

Key facts

NPI
1083230239
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
2419 Washington Ave
Montevideo, MN 56265-2619
Phone
(507) 537-2240
NPI assigned
Jun 23, 2020
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
SWWC Service Cooperatives Current
since Aug 1, 2019		 Accepting new patients

Locations

320 Saturn St N
#A
Cosmos, MN 56228
Phone (320) 877-7074

2419 Washington Ave
Montevideo, MN 56265
Phone (320) 321-1484

1314 N Hiawatha Ave
Pipestone, MN 56164
Phone (320) 877-7074

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

2419 Washington Ave
Montevideo, MN 56265-2619

Mailing address

2419 Washington Ave
Montevideo, MN 56265-2619

Other practice location 1

1314 N Hiawatha Ave
Pipestone, MN 56164-2282
Phone (507) 825-5858

Other practice location 2

320 Saturn St N Ste A
Cosmos, MN 56228-9757
Phone (320) 877-7074

Other names

  • Sarah Marie Wanke Former name

Other providers in Montevideo, MN

All providers in Montevideo, MN · Behavior Technician in Minnesota

Sources for this page

Verify at the official NPI Registry.