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

Ellie Marie Bungum

Individual provider Behavior Analyst · NPI 1952919672

Ellie Marie Bungum is a Behavior Analyst in Mankato, Minnesota. Works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2020
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Practice location Address checks out

501 Madison Ave
Mankato, MN 56001
Phone: (507) 682-7100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 404 5th Ave Ne, Kasson, MN 55944-1535 — (507) 254-0331

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence LBA0481 (MN)

Record details

NPI number1952919672
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 20, 2020
Last updated in NPPESJuly 28, 2025
Certification dateJuly 28, 2025

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