IndividualActive
Raelyn Gonnerman
NPI 1104585231 · Behavior Technician · Saint Cloud, MN
Provider details
- NPI number
- 1104585231
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
7 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
108 Doctors Park
Saint Cloud, MN 56303-1207
Phone: (320) 774-3915
Street-level locationGet directions
Mailing address
108 Doctors Park
Saint Cloud, MN 56303-1207
Additional practice locations (6)
- 59 Glenn Rd NwAlexandria, MN 56308-4007Phone: (320) 219-7644
- 7938 College RdBaxter, MN 56425-8636Phone: (218) 270-2918
- 9201 Old Cedar Ave SBloomington, MN 55425-2401Phone: (952) 854-1800
- 19437 Evans St NwElk River, MN 55330-1074Phone: (763) 515-3532
- 109 Doctors ParkSaint Cloud, MN 56303-1207Phone: (320) 774-1908
- 205 14th Ave ESartell, MN 56377-4500Phone: (320) 774-3436
Registry dates
- Enumerated
- 2021-12-16
- Last updated
- 2021-12-16
- Certified
- 2021-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.