Laura Catherine Dustrud
Individual provider Active NPI Behavior Technician · Hugo, MN
NPI 1548022783 · NPPES record last updated Jan 24, 2024
Key facts
- NPI
- 1548022783
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 14663 Mercantile Dr N
Hugo, MN 55038-4559 - Phone
- (612) 405-3156
- NPI assigned
- Jan 24, 2024
- 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
14663 Mercantile Dr N
Hugo, MN 55038-4559
Mailing address
14663 Mercantile Dr N
Hugo, MN 55038-4559
Phone (612) 405-3156
Other providers in Hugo, MN
- Dawn Rene Dittel
- Cloey Amilia Dmytruk
- Dr. Petronack & Associates, Optometrists, Inc.
- Drytech Co. LLC
- Natalie Grace Dumas
- Kristen Sheryl-Swenby Eklund
- Rizzah Esteban
- Jill K Fahnhorst
- Fairview Clinics
- Fairview Pharmacy Services LLC
All providers in Hugo, 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 24, 2024. 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.