Shaylyn Blockhus
Individual provider Active NPI Behavior Technician · Austin, MN
NPI 1104648955 · NPPES record last updated Oct 31, 2024
Key facts
- NPI
- 1104648955
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 102 1St Ave NE
Austin, MN 55912-3401 - Phone
- (507) 292-1006
- NPI assigned
- Oct 31, 2024
- 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
102 1St Ave NE
Austin, MN 55912-3401
Mailing address
102 1St Ave NE
Austin, MN 55912-3401
Other providers in Austin, MN
- Leland Bissinger
- Ashley Jane Bjornson
- Paul Blanchard
- Joseph Daniel Blessman
- Katherine Rose Blocker
- Joel Anthony Bobby
- Fred Herman Bogott
- Jessica L Bohren
- James Andrew Bohrer
- Bollingberg Chiropractic Clinic LLP
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 Oct 31, 2024. 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.