Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELIZABETH TIFFANY KOOISTRA-CASS, M.S., BCBA
Active Sole ProprietorELIZABETH TIFFANY KOOISTRA-CASS, M.S., BCBA is a Behavior Analyst healthcare provider located in LAKEVILLE, Minnesota. NPI 1851665236 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · LAKEVILLE, MN
Registration Details
- NPI Number
- 1851665236
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 1, 2012 (14.410864756529 yrs)
- Last Updated
- Jul 2, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
10450 185TH ST WLAKEVILLE, MN, 550446686Browse MN providers · Browse ZIP 55044
- Phone
- 6125096686
- Primary Specialty
-
Behavior Analyst
103K00000X
Other Behavior Analyst Providers in LAKEVILLE, MN
| Name | Credential | NPI |
|---|---|---|
| SARA JOANNE PAHL | BCBA, LPCC | 1194085746 |
| JESSICA ENGLAND | BCBA | 1245595552 |
| STEPHANIE TROWBRIDGE | — | 1104325901 |
| EMILY BRISTLIN | BCBA | 1164992848 |
| LAUREN SCHLANGEN | — | 1649837758 |
| RACHEL MULLIN | — | 1770145781 |
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.