Victoria Banken

Individual provider Active NPI Behavior Technician · Olivia, MN

NPI 1720953045 · NPPES record last updated Oct 7, 2025

Key facts

NPI
1720953045
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
311 S 10TH St
Olivia, MN 56277-1206
Phone
(320) 221-4195
Fax
(320) 221-4195
NPI assigned
Oct 7, 2025
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

311 S 10TH St
Olivia, MN 56277-1206

Mailing address

311 S 10TH St
Olivia, MN 56277-1206
Phone (320) 221-4195

Other providers in Olivia, MN

All providers in Olivia, MN · Behavior Technician in Minnesota

Sources for this page

Verify at the official NPI Registry.