Healthcare Provider Details

I. General information

NPI: 1851223952
Provider Name (Legal Business Name): SATORI ABIGAIL LEWEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

1701 CURVE CREST BLVD W
STILLWATER MN
55082-6044
US

IV. Provider business mailing address

10579 PACKARD ST NE
CIRCLE PINES MN
55014-1550
US

V. Phone/Fax

Practice location:
  • Phone: 651-342-1883
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: