Active NPI
Madeline Shirley Bach
- Behavior Technician
- Eagan, MN
National Provider Identifier
1295612422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1915 Plaza Dr Ste 101
Eagan, MN 55122-2960 - Phone
- (651) 243-6556
- NPI assigned
- Aug 19, 2025
- Last updated
- Aug 19, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
1915 Plaza Dr Ste 101
Eagan, MN 55122-2960
Mailing address
1012 W Burnsville Pkwy Apt 338
Burnsville, MN 55337-2366
Phone (507) 202-8853
Other names 1
- Carter Bach
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavior Frontiers, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755561600000",
"number": "1295612422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1012 W BURNSVILLE PKWY APT 338",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553372366",
"telephone_number": "507-202-8853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1915 PLAZA DR STE 101",
"city": "EAGAN",
"state": "MN",
"postal_code": "551222960",
"telephone_number": "651-243-6556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACH",
"first_name": "MADELINE",
"middle_name": "SHIRLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-19",
"last_updated": "2025-08-19",
"certification_date": "2025-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CARTER",
"last_name": "BACH",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Eagan, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.