Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angela Suzanne Elmendorf

Individual provider Behavior Technician · NPI 1073165569

Angela Suzanne Elmendorf is a Behavior Technician in Chanhassen, Minnesota. Licensed in Minnesota. Registered with an NPI since 2019.

Licensed in
MN
In the registry since
2019
Specialties on file
3

Practice location Address checks out

7975 Stone Creek Dr Ste 130
Chanhassen, MN 55317-4728
Phone: (953) 544-6806
Fax: (952) 545-0098
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 5503 (MN)
Behavior Technician Taxonomy 106S00000X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1073165569
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 15, 2019
Last updated in NPPESJuly 2, 2026
Certification dateJuly 2, 2026
Mailing address10201 Wayzata Blvd Ste 100, Minnetonka, MN 55305-1500

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