Riley Blankenhorn

Individual provider Active NPI Behavior Technician · Chaska, MN

NPI 1649901026 · NPPES record last updated Jun 20, 2022

Key facts

NPI
1649901026
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
533 Satori Way
Chaska, MN 55318-2744
Phone
(952) 258-3560
NPI assigned
Jun 17, 2022
Sex
Female
Sole proprietor
Yes

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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

533 Satori Way
Chaska, MN 55318-2744

Mailing address

533 Satori Way
Chaska, MN 55318-2744
Phone (952) 258-3560

Other identifiers

IdentifierTypeStateIssuer
0423001MedicaidMN

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL Chaska Health Information Exchange (HIE)

Other providers in Chaska, MN

All providers in Chaska, MN · Behavior Technician in Minnesota

Sources for this page

Verify at the official NPI Registry.