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

Mayura Phouan

Individual provider Behavior Technician · NPI 1700580271

Mayura Phouan is a Behavior Technician in Bloomington, Minnesota. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1801 American Blvd E
Bloomington, MN 55425-1232
Phone: (952) 767-2267
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1700580271
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 29, 2023
Last updated in NPPESMarch 29, 2023
Certification dateMarch 29, 2023
Mailing address1801 American Blvd E, Bloomington, MN 55425-1232

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