Krista Anderson

Individual provider Active NPI Behavior Technician · Duluth, MN

NPI 1356958326 · NPPES record last updated Sep 24, 2020

Key facts

NPI
1356958326
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1522 E Superior St
Duluth, MN 55812-1634
Phone
(218) 391-3215
NPI assigned
Sep 24, 2020
Sex
Female
Sole proprietor
Yes

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
Accend Services Incorporated Current
since Oct 25, 2021
Accepting new patients

Locations

1522 E Superior St
Duluth, MN 55812
Phone (218) 391-3215

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

1522 E Superior St
Duluth, MN 55812-1634

Mailing address

101 W 2ND St
Duluth, MN 55802-2086
Phone (218) 391-3215

Other providers in Duluth, MN

All providers in Duluth, MN · Behavior Technician in Minnesota

Sources for this page

Verify at the official NPI Registry.