IndividualActive
Bradley Niederriter
NPI 1043157662 · Behavior Technician · Red Wing, MN
Provider details
- NPI number
- 1043157662
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1995 Old West Main St
Red Wing, MN 55066
Phone: (952) 767-4200
Fax: (952) 767-4211
Approximate (ZIP-level) locationGet directions
Mailing address
5868 Baker Rd
Minnetonka, MN 55345
Registry dates
- Enumerated
- 2026-05-01
- Last updated
- 2026-05-01
- Certified
- 2026-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.