Individual provider · Type 1 NPI

Audrielle June Mogg, BCBA

Behavior Analyst · Hermantown, MN

NPI number 1174286587 Active

Practice location

4140 Richard Ave Ste 200&300
Hermantown, MN 55811-2869

Mailing address

1575 Allouez Ave
Green Bay, WI 54311-5625

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000X0-24-75781 (MN)

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1174286587

Audrielle June Mogg, BCBA's National Provider Identifier is 1174286587, issued on Oct 21, 2021. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Hermantown, MN. The record was last updated on Feb 7, 2026.