Emily Breitling
Individual provider Active NPI Behavior Technician · Baxter, MN
NPI 1700630944 · NPPES record last updated Apr 15, 2024
Key facts
- NPI
- 1700630944
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 14387 Edgewood Dr
Baxter, MN 56425-8460 - Phone
- (218) 454-5181
- NPI assigned
- Apr 15, 2024
- 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
14387 Edgewood Dr
Baxter, MN 56425-8460
Mailing address
14387 Edgewood Dr
Baxter, MN 56425-8460
Phone (218) 454-5181
Other providers in Baxter, MN
- Brainerd Medical Center Inc
- Jenal Brant
- Abigail Brashear
- Nicole Brattlund
- Breena Dell Clayton, OD
- Randy Charles Brenny
- Brighter Day Health LLC
- Kelly Brinkman
- Emily Britton
- Denisse Guillen Broadbent
All providers in Baxter, 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 Apr 15, 2024. 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.