CHARLES JOHN POTH
NPI 1336027507
Behavior Technician in Eagan, MN

Active since August 25, 2025
4635 NICOLS RD APT 104, EAGAN, MN 55122(612) 289-6480 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charles John Poth NPPES

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

CHARLES JOHN POTH (NPI 1336027507) is an individual behavior technician in Eagan, Minnesota and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1336027507
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameCHARLES JOHN POTH
Location Address4635 NICOLS RD APT 104Eagan, MN 55122-3337
Mailing Address4635 Nicols Rd Apt 104Eagan, MN 55122-3337 · (612) 289-6480
Sole ProprietorYes
Enumeration DateAugust 25, 2025
NPPES CertifiedAugust 25, 2025
NPI 1336027507 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.
4635 NICOLS RD APT 104, Eagan, MN 55122

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 Charles Poth's NPI number?

The NPI number for Charles Poth is 1336027507. It was assigned to this individual provider in the NPPES registry on August 25, 2025.

Where is Charles Poth located?

Charles Poth practices at 4635 Nicols Rd Apt 104, Eagan, MN 55122. The listed phone number is (612) 289-6480.

What is Charles Poth'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 Charles Poth was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.