Catherine Brosious
Individual provider Active NPI Behavior Technician · White Bear Lake, MN
NPI 1669247656 · NPPES record last updated Nov 20, 2023
Key facts
- NPI
- 1669247656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- 106S00000X (MN)
- Practice address
- 1011 Meadowlands Dr Ste 1
White Bear Lake, MN 55127-2340 - Phone
- (651) 200-5417
- NPI assigned
- Nov 20, 2023
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106S00000X | MN | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 106S00000X | MN | Yes |
Addresses
Primary practice location
1011 Meadowlands Dr Ste 1
White Bear Lake, MN 55127-2340
Mailing address
1041 County Road D E Apt 106
Saint Paul, MN 55109-5245
Phone (651) 200-5417
Other providers in White Bear Lake, MN
- Andrew Philip Braum
- Josalin Rose Brausen
- Craig L Bremseth
- Jenna Breseman
- Jessica Danielle Briggs
- Gerard Browne
- Alison Brunmeier
- Khadijah Desiree Brunner
- Lauren Bruyere
- Kylie Yabanse Buck
All providers in White Bear Lake, 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 Nov 20, 2023. 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.