Adrienne Marie Pacheco

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-22-59331 Issued in MN

Practice address

302 Washington St
Monticello, MN 55362-8812

Phone

(763) 272-2050

NPI assigned

Aug 5, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sherburne & Northern Wright Special Education Cooperative

  • Local Education Agency (LEA)
  • Monticello, MN
  • NPI 1124402219
  NPD
• The New England Center for Children, Inc.

  • Community/Behavioral Health Agency
  • Southborough, MA
  • NPI 1629193776
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1760092712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5742 SUMTER AVE N",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554283313",
            "telephone_number": "952-797-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 WASHINGTON ST",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553628812",
            "telephone_number": "763-272-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "ADRIENNE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-05",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MN",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MN",
            "license": "1-22-59331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy A Olson, MD
• Amanda A Oman, PHARM. D.
• Kasy Lynn Omann, CNP
• Omni Vision & Learning Center
• Megan Tiffany Otis, D.O.
• Jane Parker, N.P.
• Alpit D Patel, MBBS
• Adrienne Amanda Paulson, PHD
• Paws Up Animal Chiropractic LLC (Living Motion Chiropractic)
• Tracy Penn, LICSW

• Behavior Analyst in Monticello, MN
• Providers in Monticello, MN by specialty
• Behavior Analyst in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.