Healthcare Provider Details

I. General information

NPI: 1518880533
Provider Name (Legal Business Name): BRIAN ARCE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1403 HERITAGE DR
NORTHFIELD MN
55057-3226
US

IV. Provider business mailing address

426 NW KILPATRICK AVE
PORT ST LUCIE FL
34983-1603
US

V. Phone/Fax

Practice location:
  • Phone: 507-205-3565
  • Fax: 612-662-8779
Mailing address:
  • Phone: 507-205-3565
  • Fax: 612-662-8779

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: