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NPI Code Detail

MEDICARE: HALLE BOONE PARTAIN

MEDICARE: HALLE BOONE PARTAIN
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 Technician

General Provider Information

NPI Number : 1285432880
Entity Type Code : Individual
Provider Name (Legal Business Name) : HALLE BOONE PARTAIN
Provider Business Mailing Address
First Line : 1401 AMERICAN BLVD E STE 8
Second Line :
City : BLOOMINGTON
State : MN
Zip : 55425-1105
Country : US
Telephone Number : 612-499-4697
Fax Number :
Provider Business Practice Location Address
First Line : 1401 AMERICAN BLVD E STE 8
Second Line :
City : BLOOMINGTON
State : MN
Zip : 55425-1105
Country : US
Telephone Number : 612-499-4697
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2025
Last Update Date : 03/07/2025

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Directions to “ HALLE BOONE PARTAIN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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