Laneisha Bisek
Individual provider Active NPI Behavior Technician · Hugo, MN
NPI 1891487641 · NPPES record last updated May 22, 2023
Key facts
- NPI
- 1891487641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 14663 Mercantile Dr N
Hugo, MN 55038-4559 - Phone
- (612) 405-3156
- NPI assigned
- May 22, 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
14663 Mercantile Dr N
Hugo, MN 55038-4559
Mailing address
14663 Mercantile Dr N
Hugo, MN 55038-4559
Other providers in Hugo, MN
- Katelyn Bauer
- Ashley Ann Bauhof
- Miika Benning
- Allen Praxidio Bergstedt
- Bickford of Hugo, LLC
- Kirsten Bluhm
- Brittanie Nicole Blume
- Michelle Anne Bothun
- Erica Bowen
- Sally Ross Brown
All providers in Hugo, MN · Behavior Technician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.