Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891933230 Individual Practitioner Female Practitioner

Amanda Elizabeth Bolgren , MS, BCBA

Behavior Analyst • Bloomington, MN

Professional Overview & Biography Verified Profile Summary

Amanda Bolgren, MS, BCBA is a registered healthcare professional specializing in Behavior Analyst in Bloomington, MN. Practice services are available at 1801 AMERICAN BLVD E STE 8 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1801 American Blvd E Ste 8

Bloomington, MN 554251230

Telephone 9527672267
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Bloomington, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.5 Yrs
Regional Practice Density
67 Specialists

Practicing in Bloomington, MN (1398 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-03-26
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License HI BA-23

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.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License HI MH-272

Definition to come...

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcba Certificate
1-15-19783

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Ashley Ripley

Counselor - Mental Health

NPI 1003440702
Michaela Thomas

Behavior Technician

NPI 1003594979
Lydia Norman

Behavior Technician

NPI 1013717255
Kathryn Mitchell

Behavior Technician

NPI 1013718782
Yasid Pino Gutierrez

Behavior Technician

NPI 1013731645
Sureya Ali

Behavior Technician

NPI 1013842749

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Business Mailing Address March 26, 2021

Registered at 16782 VON KARMAN AVE STE 11, IRVINE, CA 926062417 (Tel: 6195506368)

📍
Updated Practice Location September 17, 2020

Registered at 1801 AMERICAN BLVD E STE 8, BLOOMINGTON, MN 554251230 (Tel: 9527672267)

📍
Updated Business Mailing Address September 17, 2020

Registered at 2400 W 64TH ST, MINNEAPOLIS, MN 554231001 (Tel: 6128611688)

📍
Updated Practice Location February 05, 2020

Registered at 6300 W OLD SHAKOPEE RD STE 102, BLOOMINGTON, MN 554382684 (Tel: 9528002226)

📍
Updated Business Mailing Address February 05, 2020

Registered at 3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 462686135 (Tel: 8553240885)

👤
Provider Name / Credentials Updated February 05, 2020

Recorded as AMANDA BOLGREN, MS, BCBA

📍
Updated Practice Location August 30, 2019

Registered at 200 N VINEYARD BLVD STE 600, HONOLULU, HI 96817 (Tel: 8085999650)

📍
Updated Business Mailing Address August 30, 2019

Registered at 710 GREEN ST, HONOLULU, HI 968132119 (Tel: 8085999650)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2019

Counselor (License #MH-272 in HI)

NPI Profile Active January 22, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location January 22, 2009

Registered at 615 PIIKOI ST, SUITE 203, HONOLULU, HI 968143116 (Tel: 8085891829)

📍
Updated Business Mailing Address January 22, 2009

Registered at 615 PIIKOI ST, SUITE 203, HONOLULU, HI 968143116 (Tel: 8085891829)

👤
Provider Name / Credentials Updated January 22, 2009

Recorded as AMANDA BOLGREN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2009

Counselor

🟢
Initial NPI Registration & Enumeration January 22, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891933230
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 22, 2009
Last Update: March 26, 2021
Sole Proprietor: No

Mailing Address

16782 Von Karman Ave Ste 11

Irvine, CA 926062417

Phone: 6195506368

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.