Matthew John Ellenberger
Matthew John Ellenberger is a Behavior Technician in Woodbury, Minnesota. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
2080 Wooddale Dr Ste 200Woodbury, MN 55125-2920
Phone: (651) 431-6628
Fax: (919) 561-6612
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1679366629 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 23, 2025 |
| Last updated in NPPES | May 23, 2025 |
| Certification date | May 23, 2025 |
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