MEDICARE: KRISTIN JOANNA BOHN

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
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1992449862
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTIN JOANNA BOHN

Provider Business Mailing Address
First Line	:	690 CLEVELAND AVE S STE 100
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55116-1319
Country	:	US
Telephone Number	:	651-493-8412
Fax Number	:	651-927-0404

Provider Business Practice Location Address
First Line	:	690 CLEVELAND AVE S STE 100
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55116-1319
Country	:	US
Telephone Number	:	651-493-8412
Fax Number	:	651-927-0404

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2022
Last Update Date	:	12/15/2025

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Directions to “ KRISTIN JOANNA BOHN ” Practice Location

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