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NPI Code Detail

MEDICARE: NATHAN PAUL ERICKSON

MEDICARE: NATHAN PAUL ERICKSON
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 : 1841141322
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATHAN PAUL ERICKSON
Provider Business Mailing Address
First Line : 6701 PARKWAY CIR STE 300
Second Line :
City : BROOKLYN CENTER
State : MN
Zip : 55430-2849
Country : US
Telephone Number : 763-231-9094
Fax Number :
Provider Business Practice Location Address
First Line : 6701 PARKWAY CIR STE 300
Second Line :
City : BROOKLYN CENTER
State : MN
Zip : 55430-2849
Country : US
Telephone Number : 763-231-9094
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/09/2026

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