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

Lara Derksen, MA

Individual provider Behavior Technician · NPI 1467204305

Lara Derksen, MA is a Behavior Technician in Bloomington, Minnesota. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

3800 American Blvd W Ste 740
Bloomington, MN 55431-4422
Phone: (612) 925-8365
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1467204305
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA
Sole proprietorNo
NPI enumeratedApril 3, 2024
Last updated in NPPESApril 3, 2024
Certification dateApril 3, 2024

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