Aditya Manjunath Tulahalli

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

427 W Travelers TRL
Burnsville, MN 55337-2554

Phone

(952) 247-2954

NPI assigned

Sep 25, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fraser

  • Rehabilitation Clinic/Center
  • Richfield, MN
  • NPI 1063568574
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1295514776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 W TRAVELERS TRL",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372554",
            "telephone_number": "952-247-2954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 W TRAVELERS TRL",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372554",
            "telephone_number": "952-247-2954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULAHALLI",
        "first_name": "ADITYA",
        "middle_name": "MANJUNATH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanner Tryggestad, DC
• Steve Y Tsai, MD
• Colleen M Tschudy, MSN, APRN, FNP-BC
• Meghan Tuccitto
• Sara Rohrer Tuchscherer, DDS
• Katharine D Tumilty, M.D.
• Kay Sharon Tunks
• Ashley Tupy, OTR/L
• Maria Ann Turk, OTD
• Alex Turner, DPT

• Behavior Technician in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Behavior Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.