Breanna Marie Hagen

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

10180 Viking Dr Ste 180
Eden Prairie, MN 55344-7222

Phone

(612) 712-4307

Fax

(600) 513-7773

NPI assigned

Jul 15, 2026

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1784073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1093635633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 TURPIN ST",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560821776",
            "telephone_number": "612-712-4307",
            "fax_number": "800-513-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10180 VIKING DR STE 180",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447222",
            "telephone_number": "612-712-4307",
            "fax_number": "600-513-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEN",
        "first_name": "BREANNA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-15",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Catherine Haarstad, D.V.M.
• David Wayne Haase, D.C.
• Zubeyda Hade
• Amanda Josephine Haeg, D.C.
• Judith Marie Hafner, B.A.
• Emily Hagen, NCTM, CNMT
• Anthony Ray Hagerty, OD
• Gregory Alan Haines, D.O.
• Abdikher Haji
• Sterlin Haji

• Behavior Technician in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Behavior Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.