Timothy Kimble Freeman, MHP is a
Behavior Technician based in Eden Prairie, Minnesota. Timothy Kimble Freeman is licensed to practice in NU (license number ) and his current practice location is
6533 Flying Cloud Dr Ste 200, Eden Prairie, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(612) 703-6320.
NPI number for Timothy Kimble Freeman is 1669142618 and his current mailing address is 5857 Xerxes Ave S, Minneapolis, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1669142618.
Healthcare Provider's Profile
| Full Name | Timothy Kimble Freeman |
|---|
| Gender | Male |
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| Speciality | Behavior Technician |
|---|
| Location | 6533 Flying Cloud Dr Ste 200, Eden Prairie, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1669142618
- Provider Enumeration Date: 09/20/2021
- Last Update Date: 09/21/2021
Medical Identifiers
Medical identifiers for Timothy Kimble Freeman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669142618 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (NU) | Secondary |
| 106S00000X | Behavior Technician | (NU) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Timothy Kimble Freeman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Timothy Kimble Freeman, MHP
5857 Xerxes Ave S,
Minneapolis, MN 55410-2818
Ph: (612) 703-6320 | Timothy Kimble Freeman, MHP
6533 Flying Cloud Dr Ste 200,
Eden Prairie, MN 55344-3335
Ph: (612) 703-6320 |
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