Individual provider · Type 1 NPI

Ellie Marie Bungum

Behavior Analyst · Northfield, MN

NPI number 1952919672 Active

Practice location

1403 Heritage Dr Ste A
Northfield, MN 55057-3227

Call (763) 200-4374 Map

Mailing address

501 Madison Ave
Mankato, MN 56001

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000XLBA0481 (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…

15 other providers at this address

About NPI 1952919672

Ellie Marie Bungum's National Provider Identifier is 1952919672, issued on Jul 20, 2020. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Northfield, MN. The record was last updated on Aug 31, 2026.