MEDICARE: ELIZZA YANG

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
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1790637304
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZZA YANG

Provider Business Mailing Address
First Line	:	4130 BLACKHAWK RD STE 140
Second Line	:
City	:	EAGAN
State	:	MN
Zip	:	55122-1700
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4130 BLACKHAWK RD STE 140
Second Line	:
City	:	EAGAN
State	:	MN
Zip	:	55122-1700
Country	:	US
Telephone Number	:	651-515-1415
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/14/2026
Last Update Date	:	02/14/2026

Similar Medicare Providers

1487595385 — SAMRAWIT HABTEAB TESFAY
Practice Location Address:

4130 BLACKHAWK RD STE 140
EAGAN, MN
55122-1700

Practice Phone: 612-644-4728
Practice Fax:

1457290991 — VALERIIA STENKA
Practice Location Address:

4130 BLACKHAWK RD STE 136-146
EAGAN, MN
55122-1700

Practice Phone: 651-515-1415
Practice Fax:

1265386460 — TARA MIKENAS
Practice Location Address:

4130 BLACKHAWK RD # ID
SAINT PAUL, MN
55122-1700

Practice Phone: 651-381-1536
Practice Fax:

1205776424 — DELANEY RUTH TATARKA
Practice Location Address:

2140 DIFFLEY RD
EAGAN, MN
55122-2053

Practice Phone: 952-707-4000
Practice Fax:

1932049038 — ELEVATE BEHAVIORAL HEALTH, LLC
Practice Location Address:

1440 DUCKWOOD DR
EAGAN, MN
55122-1451

Practice Phone: 612-386-7222
Practice Fax:

1710572805 — NENA KRICK
Practice Location Address:

4635 NICOLS RD
EAGAN, MN
55122-3337

Practice Phone: 651-900-2210
Practice Fax:

Directions to “ ELIZZA YANG ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.