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Kendra Shelander

Behavior Technician in Waite Park, MN. Individual provider (NPI-1).

NPI number1245098342
StatusActive
Last updated in NPPESMar 12, 2024

Details

NPI
1245098342
Entity type
Individual (NPI-1)
Name
Kendra Shelander
Sex
Female
Sole proprietor
No
Enumeration date
Mar 12, 2024
Certification date
Mar 12, 2024
Last updated
Mar 12, 2024

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 codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

314 10th Ave S Ste 100
Waite Park, MN 56387-1400

Phone 320-200-1342

Mailing address

314 10th Ave S Ste 100
Waite Park, MN 56387-1400

Phone 320-200-1342

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.

Other Behavior Technician providers in Waite Park, MN

All 345 Behavior Technician providers in Waite Park · All 697 providers in Waite Park

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