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NPI Code Detail

MEDICARE: ASHLEY MICHELLE AMARAL MERINO

MEDICARE:   ASHLEY MICHELLE AMARAL MERINO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianMN

General Provider Information

NPI Number : 1023981727
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY MICHELLE AMARAL MERINO
Provider Business Mailing Address
First Line : 4151 JORDAN AVE N
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55427-1051
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5010 CHESHIRE LN N STE 1
Second Line :
City : PLYMOUTH
State : MN
Zip : 55446-3863
Country : US
Telephone Number : 612-439-4650
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2025
Last Update Date : 09/29/2025

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Directions to “ ASHLEY MICHELLE AMARAL MERINO ” Practice Location

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