MEDICARE: EMBER LYNN FIEGENBAUM

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	:	1881556439
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMBER LYNN FIEGENBAUM

Provider Business Mailing Address
First Line	:	4846 PARK GLEN RD
Second Line	:
City	:	ST LOUIS PARK
State	:	MN
Zip	:	55416-5702
Country	:	US
Telephone Number	:	651-802-2533
Fax Number	:

Provider Business Practice Location Address
First Line	:	4846 PARK GLEN RD
Second Line	:
City	:	ST LOUIS PARK
State	:	MN
Zip	:	55416-5702
Country	:	US
Telephone Number	:	651-802-2533
Fax Number	:

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

Provider Enumeration Date	:	12/02/2025
Last Update Date	:	12/02/2025

Similar Medicare Providers

1962918896 — ANOD INC
Practice Location Address:

4846 PARK GLEN RD
ST LOUIS PARK, MN
55416-5702

Practice Phone: 651-802-2533
Practice Fax: 612-288-1002

1194723858 — LIBERTY OXYGEN AND HOME CARE, INC
Practice Location Address:

4820 PARK GLEN RD
ST LOUIS PARK, MN
55416-5702

Practice Phone: 952-920-0460
Practice Fax: 952-920-0480

1922245398 — ST CROIX DRUG COMPANY
Practice Location Address:

4820 PARK GLEN RD
ST LOUIS PARK, MN
55416-5702

Practice Phone: 952-920-0460
Practice Fax: 952-920-0480

1588009732 — BLUE & WHITE SERVICE CORPORATION
Practice Location Address:

4812 PARK GLEN RD
SAINT LOUIS PARK, MN
55416-5702

Practice Phone: 612-333-0469
Practice Fax: 612-236-0544

1437529096 — FOLLOWTHATCAB.NET, INC.
Practice Location Address:

4808 PARK GLEN RD
SAINT LOUIS PARK, MN
55416-5702

Practice Phone: 612-729-4243
Practice Fax: 612-236-0544

1093180838 — ELAURISS TRANSPORTATION SERVICES
Practice Location Address:

4812 PARK GLEN RD
ST LOUIS PARK, MN
55416-5702

Practice Phone: 612-333-3333
Practice Fax:

Directions to “ EMBER LYNN FIEGENBAUM ” 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 © 2007-2025 (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.