Lillian Georgia Abbe

Individual provider Active NPI Behavior Technician · Mankato, MN

NPI 1245922343 · NPPES record last updated May 25, 2023

Key facts

NPI
1245922343
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1700 Premier Dr.
Mankato, MN 56001
Phone
(507) 720-0920
Fax
(507) 720-0868
NPI assigned
May 25, 2023
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

1700 Premier Dr.
Mankato, MN 56001

Mailing address

1700 Premier Dr.
Mankato, MN 56001
Phone (507) 720-0920

Other providers in Mankato, MN

All providers in Mankato, MN · Behavior Technician in Minnesota

Sources for this page

Verify at the official NPI Registry.