Active NPI
Advance Together
- Behavior Analyst
- Blaine, MN
National Provider Identifier
1184538456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- ADVANCE TOGETHER
- Practice address
- 11043 Nassau Cir NE
Blaine, MN 55449-5489 - Phone
- (612) 735-0775
- Fax
- (614) 818-5505
- NPI assigned
- Oct 1, 2026
- Last updated
- Oct 1, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Patricia Ann Herrboldt
- Title
- Owner
- Phone
- (612) 735-0775
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | NU | Primary |
Addresses
Primary practice location
11043 Nassau Cir NE
Blaine, MN 55449-5489
Mailing address
11043 Nassau Cir NE
Blaine, MN 55449-5489
Phone (612) 735-0775
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Home Health Aide
- Minneapolis, MN
- NPI 1275928178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790812800000",
"number": "1184538456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11043 NASSAU CIR NE",
"city": "BLAINE",
"state": "MN",
"postal_code": "554495489",
"telephone_number": "612-735-0775",
"fax_number": "614-818-5505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11043 NASSAU CIR NE",
"city": "BLAINE",
"state": "MN",
"postal_code": "554495489",
"telephone_number": "612-735-0775",
"fax_number": "614-818-5505"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCE TOGETHER",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-01",
"last_updated": "2026-10-01",
"certification_date": "2026-10-01",
"status": "A",
"authorized_official_last_name": "HERRBOLDT",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "612-735-0775",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blaine, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.