Active NPI
Tawny Bertini
- Behavior Technician
- St Louis Park, MN
National Provider Identifier
1639778020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 4846 Park Glen Rd
St Louis Park, MN 55416-5702 - Phone
- (651) 802-2533
- NPI assigned
- Oct 19, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | MN | Primary |
Addresses
Primary practice location
4846 Park Glen Rd
St Louis Park, MN 55416-5702
Mailing address
540 S Hill Dr
New Richmond, WI 54017-2375
Phone (715) 245-7993
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anod Inc | Single Specialty | Current | Accepting new patients |
Locations
4846 Park Glen Rd
St Louis Park, MN 55416
Phone (651) 802-2533
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763596800000",
"number": "1639778020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 S HILL DR",
"city": "NEW RICHMOND",
"state": "WI",
"postal_code": "540172375",
"telephone_number": "715-245-7993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4846 PARK GLEN RD",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554165702",
"telephone_number": "651-802-2533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERTINI",
"first_name": "TAWNY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-19",
"last_updated": "2025-11-20",
"certification_date": "2025-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": "MN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.