Active NPI
Stephanie George
- Behavior Technician
- Saint Cloud, MN
National Provider Identifier
1639713910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 3721 23Rd St S Ste 201
Saint Cloud, MN 56301-6199 - Phone
- (605) 271-2690
- NPI assigned
- Oct 30, 2019
- Last updated
- Jan 28, 2025
- 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 | NU | Primary |
Addresses
Primary practice location
3721 23Rd St S Ste 201
Saint Cloud, MN 56301-6199
Mailing address
10273 Yellow Circle Drive
Minnetonka, MN 55343-9144
Other practice location 1
14000 Northdale Blvd Ste A
Rogers, MN 55374-4663
Phone (763) 428-2478
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738022400000",
"number": "1639713910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10273 YELLOW CIRCLE DRIVE",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553439144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3721 23RD ST S STE 201",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563016199",
"telephone_number": "605-271-2690"
}
],
"practiceLocations": [
{
"address_1": "14000 Northdale Blvd Ste A",
"address_purpose": "LOCATION",
"city": "Rogers",
"state": "MN",
"postal_code": "553744663",
"country_code": "US",
"telephone_number": "763-428-2478",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GEORGE",
"first_name": "STEPHANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-30",
"last_updated": "2025-01-28",
"certification_date": "2023-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Cloud, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.