JESSE LOGAN FORMANEK RBT
NPI 1306476502
Behavior Technician in Saint Cloud, MN

Active since January 16, 2020
3721 23RD ST S APT 201, SAINT CLOUD, MN 56301(218) 457-2185(605) 271-3956 Get Directions Write a Review

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

About Jesse Logan Formanek Rbt NPPES

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

JESSE LOGAN FORMANEK RBT (NPI 1306476502) is an individual behavior technician in Saint Cloud, Minnesota, licensed in Minnesota (RBT-20-110353) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1306476502
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameJESSE LOGAN FORMANEKCredential: RBT
Location Address3721 23RD ST S APT 201Saint Cloud, MN 56301-6199
Mailing Address2804 E 26th St Ste 1Sioux Falls, SD 57103-4019 · (605) 271-2690 · Fax (605) 271-3956
Fax(605) 271-3956
Sole ProprietorNo
Enumeration DateJanuary 16, 2020
NPI 1306476502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
License Licensed in MN · RBT-20-110353
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.
3721 23RD ST S APT 201, Saint Cloud, MN 56301

Other Providers at the Same Location NPPES 16

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

Behavior Technician
3721 23RD ST S APT 201
SAINT CLOUD, MN 56301
Behavior Technician
3721 23RD ST S APT 201
SAINT CLOUD, MN 56301
Behavior Technician
3721 23RD ST S APT 201
SAINT CLOUD, MN 56301
Behavior Technician
3721 23RD ST S APT 201
SAINT CLOUD, MN 56301
Behavior Technician
3721 23RD ST S APT 201
SAINT CLOUD, MN 56301
Behavior Analyst
3721 23RD ST S APT 201
SAINT CLOUD, MN 56301
Behavior Technician
3721 23RD ST S APT 201
SAINT CLOUD, MN 56301
Behavior Technician
3721 23RD ST S APT 201
SAINT CLOUD, MN 56301

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 Jesse Formanek's NPI number?

The NPI number for Jesse Formanek is 1306476502. It was assigned to this individual provider in the NPPES registry on January 16, 2020.

Where is Jesse Formanek located?

Jesse Formanek practices at 3721 23rd St S Apt 201, Saint Cloud, MN 56301. The listed phone number is (218) 457-2185.

What is Jesse Formanek'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 Jesse Formanek was last updated on January 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.