Marie E Haugen

Individual provider Active NPI Behavior Technician · Plymouth, MN

NPI 1336724848 · NPPES record last updated Mar 16, 2021

Key facts

NPI
1336724848
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
2600 Fernbrook LN N
Plymouth, MN 55447-4752
Phone
(952) 554-0349
NPI assigned
Mar 16, 2021
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Autism Matters, Inc. Current
since Mar 21, 2021
Accepting new patients

Locations

2600 Fernbrook Ln N
Plymouth, MN 55447
Phone (952) 544-0349

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

2600 Fernbrook LN N
Plymouth, MN 55447-4752

Mailing address

2600 Fernbrook LN N
Plymouth, MN 55447-4752

Other providers in Plymouth, MN

All providers in Plymouth, MN · Behavior Technician in Minnesota

Sources for this page

Verify at the official NPI Registry.