What is Addison Bemboom's NPI number?

Addison Bemboom's National Provider Identifier (NPI) is 1194515056, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Addison Bemboom's specialty?

Addison Bemboom is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).

Where is Addison Bemboom located?

Addison Bemboom's practice location on file with NPPES is 314 10th Ave S Ste 100, Waite Park, MN 56387-1968.

What is Addison Bemboom's phone number?

The practice phone number listed in the NPPES registry for Addison Bemboom is (612) 767-7222.

Is Addison Bemboom's NPI active?

Yes — Addison Bemboom's NPI (1194515056) is active in the NPPES registry as of the last update on 2025-05-12.

IndividualActive

Addison Bemboom

NPI 1194515056 · Behavior Technician · Waite Park, MN

Addison Bemboom is a Behavior Technician provider in Waite Park, MN (NPI 1194515056).

Provider details

NPI number: 1194515056
Entity type: Individual
Primary specialty: Behavior TechnicianBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Behavior TechnicianPrimary106S00000X
Behavioral Health & Social Service Providers

Profile Score

Basic profile(48/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
1 yr 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

314 10th Ave S Ste 100

Waite Park, MN 56387-1968

Phone: (612) 767-7222

Street-level locationGet directions

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Mailing address