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

Shayla Jane Mudgett

Individual provider Behavior Technician · NPI 1174355101

Shayla Jane Mudgett is a Behavior Technician in Coon Rapids, Minnesota. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

11791 Zea St NW Apt 203
Coon Rapids, MN 55433-6821
Phone: (320) 760-0767
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 number1174355101
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 19, 2024
Last updated in NPPESAugust 19, 2024
Certification dateAugust 18, 2024
Mailing address3401 Round Lake Blvd Nw, Anoka, MN 55303-3315

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