Emily D Christianson

Individual provider Active NPI Behavior Technician · Rogers, MN

NPI 1740866565 · NPPES record last updated Mar 22, 2021

Key facts

NPI
1740866565
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
14000 Northdale Blvd Ste a
Rogers, MN 55374-4663
Phone
(763) 428-2478
NPI assigned
Mar 22, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Autism Matters, Inc. Past
since Mar 28, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

14000 Northdale Blvd Ste a
Rogers, MN 55374-4663

Mailing address

14000 Northdale Blvd Ste a
Rogers, MN 55374-4663
Phone (763) 428-2478

Other providers in Rogers, MN

All providers in Rogers, MN · Behavior Technician in Minnesota

Sources for this page

Verify at the official NPI Registry.