Lucas Michael Elsner
Individual provider Active NPI Behavior Technician · Hermantown, MN
NPI 1689463572 · NPPES record last updated May 6, 2025
Key facts
- NPI
- 1689463572
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 5155 Miller Trunk Hwy
Hermantown, MN 55811-1203 - Phone
- (952) 767-4200
- Fax
- (952) 767-4211
- NPI assigned
- May 6, 2025
- 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
5155 Miller Trunk Hwy
Hermantown, MN 55811-1203
Mailing address
5860 Baker Rd
Minnetonka, MN 55345-5903
Phone (952) 767-4200
Other providers in Hermantown, MN
- Edgewood Hermantown 1 Senior Living LLC
- Edgewood Hermantown I Senior Living LLC
- Edgewood Hermantown II Senior Living LLC
- Mara Suzanne Edison
- Jaden Ellefson
- Cassie Endsley
- Dixie Engebretsen
- Christie Ehle Erickson IX
- Abileen Ann Erwin
- Louis Frank Eschenbacher
All providers in Hermantown, 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 May 6, 2025. 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.