Michaela Alexandria Born

Individual provider Active NPI Behavior Technician · Oakdale, MN

NPI 1184355752 · NPPES record last updated Jun 23, 2022

Key facts

NPI
1184355752
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
434 Hayward Ave N
Oakdale, MN 55128-5379
Phone
(651) 739-2300
NPI assigned
Jun 23, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Speech, Language and Learning, Inc. Current
since Jun 26, 2022
Accepting new patients
Center for Speech, Language, and Learning, Inc. Past
since Jun 26, 2022
Accepting new patients

Locations

434 Hayward Ave N
Saint Paul, MN 55128
Phone (651) 739-2300

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

434 Hayward Ave N
Oakdale, MN 55128-5379

Mailing address

434 Hayward Ave N
Oakdale, MN 55128-5379

Other providers in Oakdale, MN

All providers in Oakdale, MN · Behavior Technician in Minnesota

Sources for this page

Verify at the official NPI Registry.