Wellformed AI

NPI 1134933401 · live from the CMS NPI Registry

Activarium, LLC

Behavior Analyst in Hopkins, MN. National Provider Identifier 1134933401, active.

NPI record

NPI1134933401 Type 2 · organization
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location915 Mainstreet, Hopkins, MN 55343
Practice phone952-444-2808
Mailing address100 W Point Rd, Excelsior, MN 55331
EnumeratedFebruary 5, 2025
Last updatedJune 23, 2026
Authorized officialElizabeth Lowery, Ceo
Other namesKinuu

Taxonomies and licenses

TaxonomyCodeLicense
Health & Wellness Coach171400000X—
Health Educator174H00000X—
Behavior Technician106S00000X—
Behavior Analyst primary103K00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.