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ELLIE MARIE BUNGUM
NPI 1952919672
Behavior Analyst in Mankato, MN

Active since July 20, 2020
501 MADISON AVE, MANKATO, MN 56001(507) 682-7100 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ellie Marie Bungum NPPES

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

ELLIE MARIE BUNGUM (NPI 1952919672) is an individual behavior analyst provider in Mankato, Minnesota, licensed in Minnesota (LBA0481) and active in the NPI registry since July 2020. She maintains a secondary practice location in Kasson.

NPPES Registry Identity

NPI1952919672
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameELLIE MARIE BUNGUM
Location Address501 MADISON AVEMankato, MN 56001
Mailing Address501 Madison AveMankato, MN 56001 · (507) 682-7100
Phone(507) 682-7100
Sole ProprietorNo
Enumeration DateJuly 20, 2020
Last NPPES UpdateJuly 28, 2025
NPPES CertifiedJuly 28, 2025
✔ NPI 1952919672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License✔ Licensed in MN · LBA0481
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
501 MADISON AVE, Mankato, MN 56001
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Secondary Practice Location 1

Location 1404 5th Ave NEKasson, MN 55944-1535 · Phone (507) 254-0331

Other Identifiers 1

Other1070412988MN · Medica

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.Insurance ›

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.

KAMILLE J FLANDRENA
Technician, Other
501 MADISON AVE
MANKATO, MN 56001
Blue Earth County (507) 682-7100
BRIAHNA LEIGH MICHELS
Technician, Other
501 MADISON AVE
MANKATO, MN 56001
Blue Earth County (507) 682-7100
OSMAN OSMAN
Behavior Technician
501 MADISON AVE
MANKATO, MN 56001
Blue Earth County (507) 682-7100
HOFFMAN THERAPY SERVICES
Counselor (Mental Health)
501 MADISON AVE
MANKATO, MN 56001
Blue Earth County (507) 327-9738
PATRICIA WRAY BJERKE
Behavior Technician
501 MADISON AVE
MANKATO, MN 56001
Blue Earth County (507) 682-7100
LEAH PEARL DEVENS
Behavior Technician
501 MADISON AVE
MANKATO, MN 56001
Blue Earth County (507) 682-7100
MELINDA JOHNSTON
Counselor (Addiction (Substance Use Disorder))
501 MADISON AVE
MANKATO, MN 56001
Blue Earth County (507) 931-8040
SARA ANN FETTE
Technician, Other
501 MADISON AVE
MANKATO, MN 56001
Blue Earth County (507) 682-7100

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 Ellie Bungum's NPI number?

The NPI number for Ellie Bungum is 1952919672. It was assigned to this individual provider in the NPPES registry on July 20, 2020.

Where is Ellie Bungum located?

Ellie Bungum practices at 501 Madison Ave, Mankato, MN 56001. The listed phone number is (507) 682-7100.

What is Ellie Bungum's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

What insurance does Ellie Bungum accept?

Health plans from CareSource and MedMutual list Ellie Bungum as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ellie Bungum was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.