Active NPI
Gabriel Matteo Brosius
- Behavior Analyst
- Saint Anthony, MN
National Provider Identifier
1154906014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- Senzilla Health Services LLC
3055 Old Hwy 8 Ste 101F
Saint Anthony, MN 55418-5541 - Phone
- (612) 259-7715
- Fax
- (612) 259-7889
- NPI assigned
- Mar 12, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
Senzilla Health Services LLC
3055 Old Hwy 8 Ste 101F
Saint Anthony, MN 55418-5541
Mailing address
3055 Old Hwy 8 Suite 101F
Eagan, MN 55121
Phone (619) 471-5686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senzilla Health Services, LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Developmental Disabilities Clinic/Center
- St. Anthony, MN
- NPI 1255825345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615507200000",
"number": "1154906014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3055 OLD HWY 8 SUITE 101F",
"city": "EAGAN",
"state": "MN",
"postal_code": "55121",
"telephone_number": "619-471-5686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SENZILLA HEALTH SERVICES LLC",
"address_2": "3055 OLD HWY 8 STE 101F",
"city": "SAINT ANTHONY",
"state": "MN",
"postal_code": "554185541",
"telephone_number": "612-259-7715",
"fax_number": "612-259-7889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROSIUS",
"first_name": "GABRIEL",
"middle_name": "MATTEO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-12",
"last_updated": "2021-03-12",
"certification_date": "2021-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Anthony, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.