Organization
NORTHERN STAR BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEAGAN PITTELKO M.ED., BCBA (OWNER)
(507) 218-1002
Entity
Organization
Contact information
Practice address
111 RIVERFRONT STE 410, WINONA, MN 55987-3563
(507) 218-1002
Mailing address
718 NEVILLE CT SE, ROCHESTER, MN 55904-4910
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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