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NPI Code Detail

MEDICARE: HARRIET JESSICA HILLEMANN M.ED., BCBA

MEDICARE: HARRIET JESSICA HILLEMANN M.ED., BCBA
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1538769450
Entity Type Code : Individual
Provider Name (Legal Business Name) : HARRIET JESSICA HILLEMANN M.ED., BCBA
Provider Business Mailing Address
First Line : 425 W TRAVELERS TRL STE B
Second Line :
City : BURNSVILLE
State : MN
Zip : 55337-2554
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 425 W TRAVELERS TRL STE B
Second Line :
City : BURNSVILLE
State : MN
Zip : 55337-2554
Country : US
Telephone Number : 866-822-7464
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2020
Last Update Date : 01/11/2022

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