Healthcare Provider Details

I. General information

NPI: 1548197627
Provider Name (Legal Business Name): MRS. ALANNA CARYN SCHULMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 JOPPA AVE S
MINNEAPOLIS MN
55416-4141
US

IV. Provider business mailing address

2712 QUENTIN AVE
MINNEAPOLIS MN
55416-1961
US

V. Phone/Fax

Practice location:
  • Phone: 862-248-3646
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: