MARY KATHRYN SHOEMAKER
NPI 1043806797
Behavior Technician in Elk River, MN

Active since December 16, 2020
19437 EVANS ST NW, ELK RIVER, MN 55330(763) 515-3532 Get Directions Write a Review

NPPES record last updated: December 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Kathryn Shoemaker NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY KATHRYN SHOEMAKER (NPI 1043806797) is an individual behavior technician in Elk River, Minnesota and active in the NPI registry since December 2020. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1043806797
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameMARY KATHRYN SHOEMAKER
Location Address19437 EVANS ST NWElk River, MN 55330-1074
Mailing Address19437 Evans St NwElk River, MN 55330-1074 · (763) 515-3532
Sole ProprietorNo
Enumeration DateDecember 16, 2020
NPPES CertifiedDecember 16, 2020
NPI 1043806797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
19437 EVANS ST NW, Elk River, MN 55330

Secondary Practice Locations 3

Location 1109 Doctors ParkSaint Cloud, MN 56303-1207 · Phone (320) 774-1908
Location 2205 14th Ave ESartell, MN 56377-4500 · Phone (320) 774-3436
Location 3108 Doctors ParkSaint Cloud, MN 56303-1207 · Phone (320) 774-3915

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
19437 EVANS ST NW
ELK RIVER, MN 55330
Behavior Technician
19437 EVANS ST NW
ELK RIVER, MN 55330
Behavior Technician
19437 EVANS ST NW
ELK RIVER, MN 55330
Behavior Technician
19437 EVANS ST NW
ELK RIVER, MN 55330
Behavior Technician
19437 EVANS ST NW
ELK RIVER, MN 55330
Behavior Technician
19437 EVANS ST NW
ELK RIVER, MN 55330
Behavior Technician
19437 EVANS ST NW
ELK RIVER, MN 55330
Behavior Technician
19437 EVANS ST NW
ELK RIVER, MN 55330

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Shoemaker's NPI number?

The NPI number for Mary Shoemaker is 1043806797. It was assigned to this individual provider in the NPPES registry on December 16, 2020.

Where is Mary Shoemaker located?

Mary Shoemaker practices at 19437 Evans St NW, Elk River, MN 55330. The listed phone number is (763) 515-3532.

What is Mary Shoemaker's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Mary Shoemaker was last updated on December 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.