Jenna Lynn Larson, is a
Behavior Technician based in Burnsville, Minnesota. Jenna Lynn Larson is licensed to practice in * (Not Available) (license number ) and her current practice location is
1517 Highway 13 E, Burnsville, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(612) 237-1750.
NPI number for Jenna Lynn Larson is 1215758172 and her current mailing address is 7211 Creekwood Ln, Prior Lake, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215758172.
Healthcare Provider's Profile
| Full Name | Jenna Lynn Larson |
|---|
| Gender | Female |
|---|
| Speciality | Behavior Technician |
|---|
| Location | 1517 Highway 13 E, Burnsville, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1215758172
- Provider Enumeration Date: 10/22/2024
- Last Update Date: 10/26/2024
Medical Identifiers
Medical identifiers for Jenna Lynn Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215758172 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 307046 (Minnesota) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jenna Lynn Larson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jenna Lynn Larson,
7211 Creekwood Ln,
Prior Lake, MN 55372-2211
Ph: (612) 685-0204 | Jenna Lynn Larson,
1517 Highway 13 E,
Burnsville, MN 55337-2917
Ph: (612) 237-1750 |
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