Madison Rose Aaron

Individual provider Active NPI Behavior Technician · Minneapolis, MN

NPI 1770100885 · NPPES record last updated Jul 6, 2020

Key facts

NPI
1770100885
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
2925 Dean Pkwy Ste 300
Minneapolis, MN 55416-7700
Phone
(612) 925-8365
NPI assigned
Jul 6, 2020
Sex
Female
Sole proprietor
Yes

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
Lovaas Institute for Early Intervention - Midwest, Inc. Past
since Jul 12, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

2925 Dean Pkwy Ste 300
Minneapolis, MN 55416-7700

Mailing address

2925 Dean Pkwy Ste 300
Minneapolis, MN 55416-7700

Other providers in Minneapolis, MN

All providers in Minneapolis, MN · Behavior Technician in Minnesota

Sources for this page

Verify at the official NPI Registry.