Lydia Shull

Behavior Technician · Minneapolis, MN

Individual Active NPI

NPI number 1003485467

Practice location

3333 University Ave SE
Minneapolis, MN 55414-3325
Phone
(612) 331-9413

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NPI record

NPI
1003485467
Entity type
Individual (Type 1)
Enumeration date
June 21, 2021
Last updated
June 21, 2021
Certified
June 21, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

Mailing address

4839 305TH Ave NE
Cambridge, MN 55008-6707
Phone
(763) 280-1238

About Lydia Shull

Lydia Shull is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 3333 University Ave SE, Minneapolis, MN 55414-3325. The NPI number 1003485467 was assigned on June 21, 2021 and the record was last updated on June 21, 2021.

Frequently asked questions

What is the NPI number of Lydia Shull?

The NPI number is 1003485467.

What is the phone number of Lydia Shull?

The phone number listed for the practice location is (612) 331-9413.

Where is Lydia Shull located?

3333 University Ave SE, Minneapolis, MN 55414-3325.

What is the taxonomy code for Lydia Shull?

The primary taxonomy code is 106S00000X – Behavior Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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