Sara Jean Bauler

Individual provider Active NPI Behavior Technician · Marshall, MN

NPI 1386336758 · NPPES record last updated May 24, 2023

Key facts

NPI
1386336758
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
349 W Main St Ste 1
Marshall, MN 56258-1392
Phone
(230) 269-1083
NPI assigned
May 24, 2023
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
SWWC Service Cooperatives Past
since Aug 1, 2019
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

349 W Main St Ste 1
Marshall, MN 56258-1392

Mailing address

349 W Main St Ste 1
Marshall, MN 56258-1392

Other practice location 1

1314 N Hiawatha Ave
Pipestone, MN 56164-2324
Phone (320) 269-1083

Other providers in Marshall, MN

All providers in Marshall, MN · Behavior Technician in Minnesota

Sources for this page

Verify at the official NPI Registry.