Naomi Willene Ladd
Behavior Technician in Bloomington, MN. Individual provider (NPI-1).
NPI number1104774629
StatusActive
Last updated in NPPESMar 19, 2026
Details
- NPI
- 1104774629
- Entity type
- Individual (NPI-1)
- Name
- Naomi Willene Ladd
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 19, 2026
- Certification date
- Mar 19, 2026
- Last updated
- Mar 19, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
6300 W Old Shakopee Rd Ste 102Bloomington, MN 55438-2684
Phone 952-405-9937 · Fax 952-303-4837
Mailing address
6300 W Old Shakopee Rd Ste 102Bloomington, MN 55438-2684
Phone 952-405-9937 · Fax 952-303-4837
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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