| Northern Star Behavioral Health Llc | |
|
111 Riverfront Ste 410 Winona MN 55987-3563 | |
| (507) 218-1002 | |
| Not Available |
| Full Name | Northern Star Behavioral Health Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 111 Riverfront Ste 410, Winona, Minnesota |
| Authorized Official Name and Position | Meagan Pittelko (OWNER) |
| Authorized Official Contact | 5072181002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Star Behavioral Health Llc 718 Neville Ct Se Rochester MN 55904-4910 Ph: () - | Northern Star Behavioral Health Llc 111 Riverfront Ste 410 Winona MN 55987-3563 Ph: (507) 218-1002 |
| NPI Number | 1427785021 |
|---|---|
| Provider Enumeration Date | 08/03/2022 |
| Last Update Date | 08/03/2022 |
| Certification Date | 08/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427785021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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