IndividualActive
Carissa Brossard
NPI 1245097583 · Behavior Technician · Red Wing, MN
Provider details
- NPI number
- 1245097583
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Mailing address
1515 Phelps St
Red Wing, MN 55066-3546
Registry dates
- Enumerated
- 2024-03-04
- Last updated
- 2024-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.