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

Jordan Rae Dettmann

Individual provider Behavior Technician · NPI 1568338804

Jordan Rae Dettmann is a Behavior Technician in St Louis Park, Minnesota. Licensed in Minnesota. Registered with an NPI since 2025.

Licensed in
MN
In the registry since
2025

Practice location Address checks out

7010 Highway 7
St Louis Park, MN 55426-4223
Phone: (952) 814-0207
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (MN)

Record details

NPI number1568338804
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 14, 2025
Last updated in NPPESOctober 14, 2025
Certification dateOctober 14, 2025
Mailing address1040 Como Ave Se, Minneapolis, MN 55414-5730

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