Active NPI
Alicia Marie Fahland, BA
- Behavior Technician
- Fridley, MN
National Provider Identifier
1487323481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 500 Medtronic Pkwy NE
Fridley, MN 55432-5609 - Phone
- (952) 767-4200
- Fax
- (952) 767-4211
- NPI assigned
- Sep 13, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
500 Medtronic Pkwy NE
Fridley, MN 55432-5609
Mailing address
5860 Baker Rd
Minnetonka, MN 55345-5903
Phone (952) 767-4200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autism Opportunities Foundation | Past | Accepting new patients |
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.
-
- Psychologist
- Minnetonka, MN
- NPI 1447348172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742860800000",
"number": "1487323481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5860 BAKER RD",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553455903",
"telephone_number": "952-767-4200",
"fax_number": "952-767-4211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 MEDTRONIC PKWY NE",
"city": "FRIDLEY",
"state": "MN",
"postal_code": "554325609",
"telephone_number": "952-767-4200",
"fax_number": "952-767-4211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAHLAND",
"first_name": "ALICIA",
"middle_name": "MARIE",
"credential": "BA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-13",
"last_updated": "2025-03-25",
"certification_date": "2025-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fridley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.