Ellie Anderson
Individual provider Active NPI Behavior Technician · Bloomington, MN
NPI 1124962873 · NPPES record last updated Apr 15, 2026
Key facts
- NPI
- 1124962873
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1401 American Blvd E Ste 8
Bloomington, MN 55425-4507 - Phone
- (763) 283-8815
- NPI assigned
- Apr 15, 2026
- 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
1401 American Blvd E Ste 8
Bloomington, MN 55425-4507
Mailing address
1401 American Blvd E Ste 8
Bloomington, MN 55425-4507
Phone (763) 283-8815
Other providers in Bloomington, MN
- Ana Katherine D Anderson
- Caleb A Anderson
- Carolyn Marie Anderson
- Crystal M Anderson
- David Ross Anderson
- Jana Anderson
- Kaitlin Patricia Anderson
- Kaitlin Wha Ran Anderson
- Karen Kay Schendel Anderson
- Kelly A Anderson
All providers in Bloomington, 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 Apr 15, 2026. 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.