Rebecca Andrews
Individual provider Active NPI Behavior Technician · Willmar, MN
NPI 1205459302 · NPPES record last updated May 22, 2020
Key facts
- NPI
- 1205459302
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1604 1St St S Ste 120
Willmar, MN 56201-4243 - Phone
- (320) 403-5247
- NPI assigned
- May 22, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nolan'S Place LLC | Behavior Technician | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
1604 1St St S Ste 120
Willmar, MN 56201-4243
Mailing address
1604 1St St S Ste 120
Willmar, MN 56201-4243
Phone (320) 403-5247
Other providers in Willmar, MN
- Lloyd Theodore Anderson
- Michael T Anderson
- Norris M Anderson
- James R Andresen
- Leroy Arnold Andresen
- Lisa N Angell
- Samantha Anspach
- Frances Anne Antkowiak
- Stan A Antkowiak
- Kristel L Arcilla
All providers in Willmar, 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 May 22, 2020. 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.