Elise Aubrey Splittstoser

Individual provider Active NPI Behavior Technician · Cambridge, MN

NPI 1912665233 · NPPES record last updated Dec 3, 2021

Key facts

NPI
1912665233
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1994 E Rum River Dr S
Cambridge, MN 55008-2663
Phone
(763) 689-5385
NPI assigned
Dec 3, 2021
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

1994 E Rum River Dr S
Cambridge, MN 55008-2663

Mailing address

1994 E Rum River Dr S
Cambridge, MN 55008-2663
Phone (763) 689-5385

Other providers in Cambridge, MN

All providers in Cambridge, MN · Behavior Technician in Minnesota

Sources for this page

Verify at the official NPI Registry.