Adrianna Dejaye Marie Baab

Individual provider Active NPI Behavior Technician · Winona, MN

NPI 1942874086 · NPPES record last updated May 13, 2021

Key facts

NPI
1942874086
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
223 Center St
Winona, MN 55987-3595
Phone
(507) 474-4840
NPI assigned
May 13, 2021
Sex
Female
Sole proprietor
Yes

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

223 Center St
Winona, MN 55987-3595

Mailing address

1509 Southcross Dr W
Burnsville, MN 55306-6945
Phone (952) 491-9810

Other providers in Winona, MN

All providers in Winona, MN · Behavior Technician in Minnesota

Sources for this page

Verify at the official NPI Registry.