Individual
ELLIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 AMERICAN BLVD E STE 8, BLOOMINGTON, MN 55425-4507
(763) 283-8815
Mailing address
1401 AMERICAN BLVD E STE 8, BLOOMINGTON, MN 55425-4507
(763) 283-8815
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
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