Individual provider · Type 1 NPI

Gretta Bolstad

Behavior Technician · Shakopee, MN

NPI number 1982333118 Active

Practice location

4201 Dean Lakes Blvd
Shakopee, MN 55379-2829

Call (612) 416-1301 Map

Mailing address

19151 Brookwood Rd
Prior Lake, MN 55372-9740

Specialties and licenses

TaxonomyCodeLicense
Other Technician 247200000XNone listed
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 1982333118

Gretta Bolstad's National Provider Identifier is 1982333118, issued on Jun 4, 2022. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Shakopee, MN. The record was last updated on Jun 20, 2022.