Healthcare Provider Details

I. General information

NPI: 1558166371
Provider Name (Legal Business Name): ELIZABETH C. CATALANO ABA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/17/2025
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

721 COMMERCE DR
WOODBURY MN
55125-9118
US

IV. Provider business mailing address

721 COMMERCE DR
WOODBURY MN
55125-9118
US

V. Phone/Fax

Practice location:
  • Phone: 612-767-7222
  • Fax:
Mailing address:
  • Phone: 612-767-7222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1056
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number940
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: