Ronah Matoberi Abraham

Individual provider Active NPI Behavior Technician · Saint Cloud, MN

NPI 1114725348 · NPPES record last updated Mar 4, 2025

Key facts

NPI
1114725348
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
109 Doctors Park
Saint Cloud, MN 56303-1207
Phone
(320) 774-1908
NPI assigned
Mar 4, 2025
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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

109 Doctors Park
Saint Cloud, MN 56303-1207

Mailing address

109 Doctors Park
Saint Cloud, MN 56303-1207
Phone (320) 774-1908

Other providers in Saint Cloud, MN

All providers in Saint Cloud, MN · Behavior Technician in Minnesota

Sources for this page

Verify at the official NPI Registry.