Bethany Crosbie
Individual provider Active NPI Behavior Technician · Rogers, MN
NPI 1376187658 · NPPES record last updated Oct 30, 2019
Key facts
- NPI
- 1376187658
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 14000 Northdale Blvd Ste a
Rogers, MN 55374-4663 - Phone
- (763) 428-2478
- NPI assigned
- Oct 30, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autism Matters, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
14000 Northdale Blvd Ste a
Rogers, MN 55374-4663
Mailing address
14000 Northdale Blvd Ste a
Rogers, MN 55374-4663
Other providers in Rogers, MN
- Leah Marie Colby
- Paul Allen Colligan
- Marion Conwell
- Rachel Annastasia Coulter
- Abigail Dawn Covington
- Benjamin Cypcar
- D. Stanton Enterprises, LLC
- Matthew Patrick Dale
- Darla Jan Dammen
- Derek James Dejonker
All providers in Rogers, MN · Behavior Technician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.