Morgan Hanson

Individual provider Active NPI Behavior Technician · Perham, MN

NPI 1447863758 · NPPES record last updated Oct 6, 2020

Key facts

NPI
1447863758
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-20-137724 (MN)
Practice address
735 3Rd St SW
Perham, MN 56573-1152
Phone
(218) 214-9950
Fax
(605) 271-3956
NPI assigned
Aug 26, 2020
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

State licenses

LicenseStateTypeSpecialty
RBT-20-137724MNMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Day Training/Habilitation Specialist 373H00000X MN
Behavior Technician 106S00000X RBT-20-137724 MN Yes

Addresses

Primary practice location

735 3Rd St SW
Perham, MN 56573-1152

Mailing address

2804 E. 26TH Street
Suite 1
Sioux Falls, SD 57103-4019
Phone (605) 271-2690

Other providers in Perham, MN

All providers in Perham, MN · Behavior Technician in Minnesota

Sources for this page

Verify at the official NPI Registry.