Matt Onstad

Individual provider Active NPI Behavior Analyst · Zimmerman, MN

NPI 1750008272 · NPPES record last updated Oct 25, 2022

Key facts

NPI
1750008272
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
27185 143Rd St NW
Zimmerman, MN 55398-8734
Phone
(763) 248-3831
NPI assigned
Oct 25, 2022
Sex
Male
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)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Yes

Addresses

Primary practice location

27185 143Rd St NW
Zimmerman, MN 55398-8734

Mailing address

PO Box 236
Zimmerman, MN 55398-0236
Phone (763) 248-3831

Other providers in Zimmerman, MN

All providers in Zimmerman, MN · Behavior Analyst in Minnesota

Sources for this page

Verify at the official NPI Registry.