IndividualActive
Matthew Ellenberger
NPI 1679366629 · Behavior Technician · Woodbury, MN
Matthew Ellenberger is a Behavior Technician provider in Woodbury, MN (NPI 1679366629).
Provider details
- NPI number
- 1679366629
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
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
2080 Wooddale Dr Ste 200
Woodbury, MN 55125-2920
Phone: (651) 431-6628
Fax: (919) 561-6612
Street-level locationGet directions
Mailing address
382 Ne 191st St Ste 98090
Miami, FL 33179-3899
Registry dates
- Enumerated
- 2025-05-23
- Last updated
- 2025-05-23
- Certified
- 2025-05-23
Frequently asked questions
- What is Matthew Ellenberger's NPI number?
- Matthew Ellenberger's National Provider Identifier (NPI) is 1679366629, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matthew Ellenberger's specialty?
- Matthew Ellenberger is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Matthew Ellenberger located?
- Matthew Ellenberger's practice location on file with NPPES is 2080 Wooddale Dr Ste 200, Woodbury, MN 55125-2920.
- What is Matthew Ellenberger's phone number?
- The practice phone number listed in the NPPES registry for Matthew Ellenberger is (651) 431-6628.
- Is Matthew Ellenberger's NPI active?
- Yes — Matthew Ellenberger's NPI (1679366629) is active in the NPPES registry as of the last update on 2025-05-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.