Rachel Ellingson
Individual provider Active NPI Behavior Technician · Albertville, MN
NPI 1740952001 · NPPES record last updated Oct 5, 2021
Key facts
- NPI
- 1740952001
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 11575 E Laketowne Dr
Albertville, MN 55301-4348 - Phone
- (248) 299-0030
- NPI assigned
- Oct 4, 2021
- 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
11575 E Laketowne Dr
Albertville, MN 55301-4348
Mailing address
27777 Inkster Rd Ste 100
Farmington Hills, MI 48334-5312
Other providers in Albertville, MN
- Shelby Lynn Deitchler
- Alyssa Deutschmann
- Keith Henry Diers
- E-Mai Dunbar
- Elevate Physical Therapy LLC
- Taylor Enger
- Donna Jo Erickson
- Evans Park, Inc
- Rachel Evavold
- Evernorth Clinic, PLLC
All providers in Albertville, 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 Oct 5, 2021. 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.