IndividualActive
Alexis Koller
NPI 1326701533 · Behavior Technician · White Bear Lake, MN
Provider details
- NPI number
- 1326701533
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1011 Meadowlands Dr Ste 1&2
White Bear Lake, MN 55127-2339
Phone: (612) 315-1976
Approximate (ZIP-level) locationGet directions
Mailing address
2333 13th Ave E
North Saint Paul, MN 55109-2423
Registry dates
- Enumerated
- 2021-10-15
- Last updated
- 2021-10-15
- Certified
- 2021-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.