Ava Novella Nyquist

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1804 Cloquet Ave
Cloquet, MN 55720-2141

Phone

(218) 879-2119

Fax

(218) 879-2696

NPI assigned

Aug 5, 2026

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Northstar Community Services LLC

  • Social Worker
  • Cloquet, MN
  • NPI 1740938430
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1785888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1689598682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557200189",
            "telephone_number": "218-879-2119",
            "fax_number": "218-879-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 CLOQUET AVE",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557202141",
            "telephone_number": "218-879-2119",
            "fax_number": "218-879-2696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3412 Bent Trout Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Barnum",
            "state": "MN",
            "postal_code": "557078872",
            "country_code": "US",
            "telephone_number": "218-879-2119",
            "fax_number": "218-879-2696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NYQUIST",
        "first_name": "AVA",
        "middle_name": "NOVELLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-05",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northstar Community Services LLC
• Northwoods Therapeutic Services
• Austin Mathew Nummela
• Jennifer Dawn Nyakundi, LPCC
• Bethany Anne Nyland, MD
• Lacie O'Leary
• Randeena Rae Olson
• Richard A Olson, DDS
• Grace Overend
• Mary June Owen, MD

• Behavior Technician in Cloquet, MN
• Providers in Cloquet, MN by specialty
• Behavior Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.