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

Gannon Raguse

Individual provider Behavior Technician · NPI 1386201580

Gannon Raguse is a Behavior Technician in Coon Rapids, Minnesota. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

9120 Springbrook Dr NW
Coon Rapids, MN 55433
Phone: (763) 231-2590
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3333 University Ave Se, Minneapolis, MN 55414-3325 — (218) 232-3057

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1386201580
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 22, 2019
Last updated in NPPESJuly 15, 2019
Mailing address20311 Dove Ln, Brainerd, MN 56401-7027

Other providers in Coon Rapids