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

Mia Keith

Individual provider Behavior Technician · NPI 1871279794

Mia Keith is a Behavior Technician in Blaine, Minnesota. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

11255 President Dr NE
Blaine, MN 55434
Phone: (651) 703-5384
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1871279794
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 26, 2023
Last updated in NPPESJune 26, 2023
Certification dateJune 26, 2023
Mailing address3401 Round Lake Blvd Nw, Anoka, MN 55303

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