Gina Rose Goettl
Individual provider Active NPI Behavior Technician · North Mankato, MN
NPI 1376409383 · NPPES record last updated Jan 3, 2026
Key facts
- NPI
- 1376409383
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 2101 Rolling Green Lane
North Mankato, MN 56003 - Phone
- (952) 767-4200
- Fax
- (952) 767-4211
- NPI assigned
- Jan 3, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
2101 Rolling Green Lane
North Mankato, MN 56003
Mailing address
5868 Baker Rd
Minnetonka, MN 55345
Phone (952) 767-4200
Other providers in North Mankato, MN
- Femrite Family Nutrition, Inc.
- Keith P Flack
- Maya Fluegge
- McKailey May George
- Amanda Gerdts
- Kelly Ann Gonzalez
- Melissa Jo Groskreutz
- Brendan Hacker
- Christopher Hall
- Katharine Michele Hall
All providers in North Mankato, 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 Jan 3, 2026. 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.