IndividualActive
Mandy Dubovanova
NPI 1174397830 · Behavior Technician · Eagan, MN
Mandy Dubovanova is a Behavior Technician provider in Eagan, MN (NPI 1174397830).
Provider details
- NPI number
- 1174397830
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(51/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
4635 Nicols Rd Ste 104
Eagan, MN 55122-3337
Phone: (651) 900-2210
Street-level locationGet directions
Mailing address
4635 Nicols Rd Ste 104
Eagan, MN 55122-3337
Registry dates
- Enumerated
- 2023-11-13
- Last updated
- 2023-11-15
- Certified
- 2023-11-15
Frequently asked questions
- What is Mandy Dubovanova's NPI number?
- Mandy Dubovanova's National Provider Identifier (NPI) is 1174397830, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mandy Dubovanova's specialty?
- Mandy Dubovanova is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Mandy Dubovanova located?
- Mandy Dubovanova's practice location on file with NPPES is 4635 Nicols Rd Ste 104, Eagan, MN 55122-3337.
- What is Mandy Dubovanova's phone number?
- The practice phone number listed in the NPPES registry for Mandy Dubovanova is (651) 900-2210.
- Is Mandy Dubovanova's NPI active?
- Yes — Mandy Dubovanova's NPI (1174397830) is active in the NPPES registry as of the last update on 2023-11-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.