Kari Lynn Boeder

Individual provider Active NPI Behavior Technician · Baxter, MN

NPI 1851021463 · NPPES record last updated Jun 15, 2022

Key facts

NPI
1851021463
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
7938 College Rd
Baxter, MN 56425-8636
Phone
(218) 270-2918
Fax
(218) 270-2921
NPI assigned
Jun 15, 2022
Sex
Female
Sole proprietor
No

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
Northway Academy, Inc. Past
since Jun 21, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

7938 College Rd
Baxter, MN 56425-8636

Mailing address

7938 College Rd
Baxter, MN 56425-8636
Phone (218) 270-2918

Other providers in Baxter, MN

All providers in Baxter, MN · Behavior Technician in Minnesota

Sources for this page

Verify at the official NPI Registry.