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General NPI Number Information
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NPI Number | 1780252361
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Entity Type | Individual
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Provider Name | MICKAYLA HELLYER BCBA
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Gender | Female
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Dates
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Enumeration Date | 06/11/2021
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 6701 PARKWAY CIR STE 300
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City | BROOKLYN CENTER
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State | MN
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Zip | 55430-2849
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Country | US
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Telephone | 763-231-9094
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Fax |
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Provider Business Mailing Address
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Address Line | 6701 PARKWAY CIR STE 300
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City | BROOKLYN CENTER
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State | MN
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Zip | 55430-2849
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Country | US
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Telephone | 763-231-9094
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-21-179843
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | LBA0851
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | L113
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License Number State | ND
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