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

Mystic Makepeace

Individual provider Behavior Technician · NPI 1003486564

Mystic Makepeace is a Behavior Technician in Minneapolis, Minnesota. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

3333 University Ave SE
Minneapolis, MN 55414-3325
Phone: (612) 767-7222
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 number1003486564
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 28, 2021
Last updated in NPPESJune 28, 2021
Certification dateJune 28, 2021

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