Halle Georgeann Blais
Individual provider Active NPI Behavior Technician · Shakopee, MN
NPI 1114709276 · NPPES record last updated Oct 13, 2023
Key facts
- NPI
- 1114709276
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 4201 Dean Lakes Blvd Ste 160
Shakopee, MN 55379-2863 - Phone
- (612) 416-1301
- NPI assigned
- Oct 13, 2023
- Sex
- Female
- Sole proprietor
- Yes
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
4201 Dean Lakes Blvd Ste 160
Shakopee, MN 55379-2863
Mailing address
4201 Dean Lakes Blvd Ste 160
Shakopee, MN 55379-2863
Other providers in Shakopee, MN
- Lauren Benolkin
- Wendy M Bergeron
- Ryan Berres
- Bio-Medical Applications of Minnesota, Inc.
- Steven Lloyd Bladow
- Blessing Stars Home Health Care LLC
- Richard W Blomberg
- Kevin H Blonigen
- Kalie Ann Boegeman
- Amanda Bogdonovich
All providers in Shakopee, 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 13, 2023. 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.