Nyakume Dup
Individual provider Active NPI Behavior Technician · Mankato, MN
NPI 1265092563 · NPPES record last updated Jun 18, 2019
Key facts
- NPI
- 1265092563
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 220 E Main St Ste 1
Mankato, MN 56001-3574 - Phone
- (507) 345-7012
- NPI assigned
- Jun 18, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| Five Rivers Mental Health LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
220 E Main St Ste 1
Mankato, MN 56001-3574
Mailing address
237 S Pearl St
Albert Lea, MN 56007-2644
Phone (507) 369-4489
Other providers in Mankato, MN
- Leanna Duncanson
- James R Dungan
- Leonard K Dunikoski
- Christina Dunn
- Susan E Dunn
- Juana Duplat Castaneda
- Kira Leigha Dupont
- Jacob Lee Dvorak
- Thomas M Dvorak
- Dominika Dyminski
All providers in Mankato, 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 Jun 18, 2019. 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.