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NPI Code Detail

MEDICARE: SIAHNEY N KOLLIE

MEDICARE: SIAHNEY N KOLLIE
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 : 1942188453
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIAHNEY N KOLLIE
Provider Business Mailing Address
First Line : 4255 LEXINGTON AVE N
Second Line :
City : ARDEN HILLS
State : MN
Zip : 55126-6164
Country : US
Telephone Number : 952-746-5350
Fax Number :
Provider Business Practice Location Address
First Line : 4255 LEXINGTON AVE N
Second Line :
City : ARDEN HILLS
State : MN
Zip : 55126-6164
Country : US
Telephone Number : 952-746-5350
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2025
Last Update Date : 01/27/2026

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Directions to “ SIAHNEY N KOLLIE ” Practice Location

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