OrganizationActive
Behavioral Management PA
NPI 1225247372 · Counseling Psychologist · Edina, MN
Provider details
- NPI number
- 1225247372
- Entity type
- Organization
- Primary specialty
- Counseling PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Mark Raderstorf, President(952) 927-0184
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
7211 Ohms Ln
Edina, MN 55439-2148
Phone: (952) 927-0184
Approximate (ZIP-level) locationGet directions
Mailing address
7211 Ohms Ln
Edina, MN 55439-2148
Other names (DBA / former)
- Doing business as
- Behavioral Medical Interventions
Registry dates
- Enumerated
- 2007-05-22
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.