Kendra Lynn Raygor
Behavior Technician in Bloomington, MN. Individual provider (NPI-1).
NPI number1841015641
StatusActive
Last updated in NPPESNov 18, 2024
Details
- NPI
- 1841015641
- Entity type
- Individual (NPI-1)
- Name
- Kendra Lynn Raygor
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 18, 2024
- Certification date
- Nov 18, 2024
- Last updated
- Nov 18, 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
1801 American Blvd EBloomington, MN 55425-1232
Phone 952-767-2267
Mailing address
1801 American Blvd EBloomington, MN 55425-1232
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 968 Behavior Technician providers in Bloomington · All 4,142 providers in Bloomington
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