Active NPI
Hongda Du
- Behavior Analyst
- North Mankato, MN
National Provider Identifier
1205690641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1192-140
- Practice address
- 2101 Rolling Green LN
North Mankato, MN 56003-4442 - Phone
- (952) 767-4200
- NPI assigned
- Feb 7, 2024
- Sex
- Male
- 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 | 1192-140 | WI | Primary |
Addresses
Primary practice location
2101 Rolling Green LN
North Mankato, MN 56003-4442
Mailing address
1095 Meadow LN
Neenah, WI 54956-3936
Phone (920) 840-1569
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1192-140 | WI | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1205690641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1095 MEADOW LN",
"city": "NEENAH",
"state": "WI",
"postal_code": "549563936",
"telephone_number": "920-840-1569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 ROLLING GREEN LN",
"city": "NORTH MANKATO",
"state": "MN",
"postal_code": "560034442",
"telephone_number": "952-767-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DU",
"first_name": "HONGDA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-02-07",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "WI",
"license": "1192-140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Mankato, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.