Juliann Ruth Shattuck
Behavior Technician in Mankato, MN. Individual provider (NPI-1).
NPI number1760213680
StatusActive
Last updated in NPPESAug 12, 2024
Details
- NPI
- 1760213680
- Entity type
- Individual (NPI-1)
- Name
- Juliann Ruth Shattuck
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 12, 2024
- Certification date
- Aug 12, 2024
- Last updated
- Aug 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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1720 Bassett DrMankato, MN 56001-6569
Phone 507-682-7100
Mailing address
147 James AveMankato, MN 56001-3925
Phone 651-363-4255
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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All 359 Behavior Technician providers in Mankato · All 2,445 providers in Mankato
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