Maddison Rose Wendland
Individual provider Active NPI Behavior Technician · Marshall, MN
NPI 1972316248 · NPPES record last updated Jan 30, 2025
Key facts
- NPI
- 1972316248
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 349 W Main St
Marshall, MN 56258-1361 - Phone
- (507) 337-2965
- NPI assigned
- Jan 30, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| SWWC Service Cooperatives | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
349 W Main St
Marshall, MN 56258-1361
Mailing address
349 W Main St
Marshall, MN 56258-1361
Other practice location 1
320 Saturn St N
Cosmos, MN 56228-9757
Phone (507) 339-4933
Other practice location 2
2419 Washington Ave
Montevideo, MN 56265-2619
Phone (507) 339-4933
Other providers in Marshall, MN
- Walmart Inc.
- Eric Warne
- Lachelle Kay Wegener
- Kristin M Wegner
- Hope Welu
- Brandon James West
- Western Community Action
- Western Mental Health Center, Inc.
- Sandra Christine Widhalm Murphy
- Wildrose Home Medical
All providers in Marshall, 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 Jan 30, 2025. 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.