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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BACHU MEKONNEN ETICHA

Active

BACHU MEKONNEN ETICHA is a Behavior Technician healthcare provider located in MAPLE GROVE, Minnesota. NPI 1821891888 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · MAPLE GROVE, MN

Registration Details

NPI Number
1821891888
Provider Type
Individual
Gender
Female
NPI Issued
Mar 27, 2025 (1.3887965809506 yrs)
Last Updated
Mar 27, 2025

Practice Information

Address
6901 E FISH LAKE RD, STE 146
MAPLE GROVE, MN, 553695455
Browse MN providers · Browse ZIP 55369
Phone
9527674200
Fax
9527674211
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in MAPLE GROVE, MN

Name Credential NPI
KATHERINE MARIE COFFEE GEORGE I 1316308521
JOSHUA CHARLES STEVENS 1043797368
PHILEMINA WASHINGTON 1063975480
MAI YANG 1871153171
STEPHANIE SARAH BENSON 1891303566
MEGAN MICHELLE MCQUINN 1649855362
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.