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

Angelica Cecelia Modderman

Individual provider Behavior Technician · NPI 1639816531

Angelica Cecelia Modderman is a Behavior Technician in Burnsville, Minnesota. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

14301 Ewing Ave S
Burnsville, MN 55306-4885
Phone: (952) 746-5450
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1639816531
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 12, 2022
Last updated in NPPESMay 12, 2022
Certification dateMay 12, 2022

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