Connected Neurodivergent Supports, Llc is a
Behavior Analyst based in Saint Michael, Minnesota. Connected Neurodivergent Supports, Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
9648 51st St Ne, Saint Michael, Minnesota. It can be reached at their office (for appointments etc.) via phone at
(310) 704-1891.
NPI number for Connected Neurodivergent Supports, Llc is 1467383539 and their current mailing address is 100 Atlantic Ave Apt 900, Long Beach, California. Connected Neurodivergent Supports, Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1467383539.
Healthcare Provider's Profile
| Full Name | Connected Neurodivergent Supports, Llc |
|---|
| Type | Facility |
|---|
| Speciality | Behavior Analyst |
|---|
| Location | 9648 51st St Ne, Saint Michael, Minnesota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1467383539
- Provider Enumeration Date: 05/27/2026
- Last Update Date: 05/27/2026
Medical Identifiers
Medical identifiers for Connected Neurodivergent Supports, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1467383539 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | 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. Connected Neurodivergent Supports, Llc 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 |
Connected Neurodivergent Supports, Llc 100 Atlantic Ave Apt 900, Long Beach, CA 90802-5150 Ph: Not Available | Connected Neurodivergent Supports, Llc 9648 51st St Ne, Saint Michael, MN 55376-7530 Ph: (310) 704-1891 |
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