Sydney Elizabeth Bordson
Individual provider Active NPI Behavior Technician · Sartell, MN
NPI 1225811458 · NPPES record last updated Aug 14, 2023
Key facts
- NPI
- 1225811458
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1908 Kruchten CT S
Sartell, MN 56377-4645 - Phone
- (320) 640-7660
- NPI assigned
- Aug 14, 2023
- 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 |
|---|---|---|---|
| Foundations Autism Center LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
1908 Kruchten CT S
Sartell, MN 56377-4645
Mailing address
1908 Kruchten CT S
Sartell, MN 56377-4645
Phone (320) 640-7660
Other providers in Sartell, MN
- Christopher William Boelter
- Makenna Nicole Boever
- Kristi Michelle Bohlig
- Jody Allison Bolton Smith
- Naveah Marie Bonacci
- Chad Bosl
- Kaitlyn Mae Bottem
- Sara Ashley Botterill
- Elizabeth Claire Boyd
- Riley Corey Boyer
All providers in Sartell, 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 Aug 14, 2023. 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.