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

Zachery Matthew Lorusso

Individual provider Behavior Technician · NPI 1336077023

Zachery Matthew Lorusso is a Behavior Technician in Blaine, Minnesota. Works from 2 locations. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

10190 Baltimore St NE Ste 200
Blaine, MN 55449-6045
Phone: (612) 400-5731
Fax: (651) 389-9492
Show map & directions

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

Additional practice locations (1)

  • 14663 Mercantile Dr N, Hugo, MN 55038-4559 — (612) 405-3156

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1336077023
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 12, 2026
Last updated in NPPESMay 12, 2026
Certification dateMay 12, 2026
Mailing address10190 Baltimore St Ne Ste 200, Blaine, MN 55449-6045

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