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NPI Code Detail

MEDICARE: ELIZABETH KAY HABIGER

MEDICARE: ELIZABETH KAY HABIGER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1-23-63567MN

General Provider Information

NPI Number : 1457914459
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH KAY HABIGER
Provider Business Mailing Address
First Line : 2080 WOODDALE DR STE 200
Second Line :
City : WOODBURY
State : MN
Zip : 55125-2920
Country : US
Telephone Number : 651-201-2468
Fax Number :
Provider Business Practice Location Address
First Line : 2080 WOODDALE DR STE 200
Second Line :
City : WOODBURY
State : MN
Zip : 55125-2920
Country : US
Telephone Number : 651-201-2468
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2019
Last Update Date : 11/13/2025

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Directions to “ ELIZABETH KAY HABIGER ” Practice Location

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