Active NPI
Audrielle June Mogg, BCBA
- Behavior Analyst
- Hermantown, MN
National Provider Identifier
1174286587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 0-24-75781
- Practice address
- 4140 Richard Ave Ste 200&300
Hermantown, MN 55811-2869 - Phone
- (218) 514-5230
- NPI assigned
- Oct 21, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 0-24-75781 | MN | Primary |
Addresses
Primary practice location
4140 Richard Ave Ste 200&300
Hermantown, MN 55811-2869
Mailing address
1575 Allouez Ave
Green Bay, WI 54311-5625
Phone (218) 514-5230
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 |
|---|---|---|---|
| Behavior Frontiers, LLC | Behavior Analyst | Current | Accepting new patients |
Locations
100 N Pacific Coast Hwy
Ste 1400
El Segundo, CA 90245
Phone (310) 304-0532
5215 Edina Industrial Blvd
Ste 200
Minneapolis, MN 55439
Phone (612) 523-8183
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770422400000",
"number": "1174286587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1575 ALLOUEZ AVE",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543115625",
"telephone_number": "218-514-5230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4140 RICHARD AVE STE 200&300",
"city": "HERMANTOWN",
"state": "MN",
"postal_code": "558112869",
"telephone_number": "218-514-5230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOGG",
"first_name": "AUDRIELLE",
"middle_name": "JUNE",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-21",
"last_updated": "2026-02-07",
"certification_date": "2026-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MN",
"license": "0-24-75781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hermantown, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.