Individual provider · Type 1 NPI

Gina Rose Goettl

Behavior Technician · North Mankato, MN

NPI number 1376409383 Active

Practice location

2101 Rolling Green Lane
North Mankato, MN 56003

Call (952) 767-4200 Map

Fax (952) 767-4211

Mailing address

5868 Baker Rd
Minnetonka, MN 55345

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XNone listed

Behavior Technician: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That…

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About NPI 1376409383

Gina Rose Goettl's National Provider Identifier is 1376409383, issued on Jan 3, 2026. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in North Mankato, MN. The record was last updated on Jan 3, 2026.