Beydan A Adam

Individual provider Active NPI Behavior Technician · Oakdale, MN

NPI 1295430239 · NPPES record last updated Mar 31, 2023

Key facts

NPI
1295430239
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
7835 3Rd St N Ste 108
Oakdale, MN 55128-5445
Phone
(651) 666-1267
NPI assigned
Mar 31, 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

7835 3Rd St N Ste 108
Oakdale, MN 55128-5445

Mailing address

10256 Arrowwood Path
Woodbury, MN 55129-7575
Phone (763) 221-3804

Other providers in Oakdale, MN

All providers in Oakdale, MN · Behavior Technician in Minnesota

Sources for this page

Verify at the official NPI Registry.