Quen'Taejah Shamari Henderson Walker

Individual provider Active NPI Behavior Technician · Hopkins, MN

NPI 1841981123 · NPPES record last updated May 17, 2023

Key facts

NPI
1841981123
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
100 7TH Ave S
Hopkins, MN 55343-7688
Phone
(612) 394-4758
NPI assigned
May 17, 2023
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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

100 7TH Ave S
Hopkins, MN 55343-7688

Mailing address

100 7TH Ave S
Hopkins, MN 55343-7688
Phone (612) 394-4758

Other providers in Hopkins, MN

All providers in Hopkins, MN · Behavior Technician in Minnesota

Sources for this page

Verify at the official NPI Registry.