Emily Breitbach
Individual provider Active NPI Specialist · Moorhead, MN
NPI 1902378375 · NPPES record last updated Dec 14, 2020
Key facts
- NPI
- 1902378375
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 891 Belsly Blvd
Moorhead, MN 56560-5055 - Phone
- (218) 287-4338
- NPI assigned
- Dec 26, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Therapy Partners, Inc. | Behavior Technician | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Specialist | 174400000X | Yes |
Addresses
Primary practice location
891 Belsly Blvd
Moorhead, MN 56560-5055
Mailing address
891 Belsly Blvd
Moorhead, MN 56560-5055
Phone (218) 287-4338
Other providers in Moorhead, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2020. 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.