PANDA THAMMAVONG RBT
NPI 1538909841
Behavior Technician in Saint Cloud, MN

Active since May 27, 2024
3721 23RD ST S STE 201, SAINT CLOUD, MN 56301(605) 271-2690(605) 271-3956 Get Directions Write a Review

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Panda Thammavong Rbt NPPES

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

PANDA THAMMAVONG RBT (NPI 1538909841) is an individual behavior technician in Saint Cloud, Minnesota and active in the NPI registry since May 2024. She maintains a secondary practice location in Shakopee.

NPPES Registry Identity

NPI1538909841
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NamePANDA THAMMAVONGCredential: RBT
Location Address3721 23RD ST S STE 201Saint Cloud, MN 56301-6199
Mailing Address1105 W Russell StSioux Falls, SD 57104-1322 · (605) 271-2690 · Fax (605) 271-3956
Fax(605) 271-3956
Sole ProprietorYes
Enumeration DateMay 27, 2024
Last NPPES UpdateJanuary 30, 2026
NPPES CertifiedJanuary 30, 2026
✔ NPI 1538909841 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.
3721 23RD ST S STE 201, Saint Cloud, MN 56301

Secondary Practice Location 1

Location 14201 Dean Lakes Blvd Ste 160Shakopee, MN 55379-2863 · Phone (612) 416-1301

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
3721 23RD ST S STE 201
SAINT CLOUD, MN 56301
Day Training/Habilitation Specialist
3721 23RD ST S STE 201
SAINT CLOUD, MN 56301
Behavior Analyst
3721 23RD ST S STE 201
SAINT CLOUD, MN 56301
Behavior Technician
3721 23RD ST S STE 201
SAINT CLOUD, MN 56301
Behavior Technician
3721 23RD ST S STE 201
SAINT CLOUD, MN 56301
Behavior Technician
3721 23RD ST S STE 201
SAINT CLOUD, MN 56301
Behavior Technician
3721 23RD ST S STE 201
SAINT CLOUD, MN 56301
Behavior Technician
3721 23RD ST S STE 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 Panda Thammavong's NPI number?

The NPI number for Panda Thammavong is 1538909841. It was assigned to this individual provider in the NPPES registry on May 27, 2024.

Where is Panda Thammavong located?

Panda Thammavong practices at 3721 23rd St S Ste 201, Saint Cloud, MN 56301. The listed phone number is (605) 271-2690.

What is Panda Thammavong'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 Panda Thammavong was last updated on January 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.