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Audrielle June Mogg , BCBA

Behavior Analyst β€’ Hermantown, MN

Active NPI 1174286587 Individual Practitioner Female Practitioner
Practice location in NPPES

4140 Richard Ave Ste 200&300
Hermantown, MN 558112869

Call 2185145230 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4140 Richard Ave Ste 200&300

Hermantown, MN 558112869

Telephone 2185145230
Organization at the Same NPPES Address or Phone
Integrated Developmental Services, Inc Facility NPI 1528025954

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Hermantown and Minnesota

10 active clinicians are listed under Behavior Analyst with a practice address in Hermantown, MN (1,393 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-02-07
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES MN 0-24-75781

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

19 Historical Events
πŸ“
Updated Practice Location February 07, 2026

Registered at 4140 RICHARD AVE STE 200&300, HERMANTOWN, MN 558112869 (Tel: 2185145230)

πŸ“
Updated Business Mailing Address February 07, 2026

Registered at 1575 ALLOUEZ AVE, GREEN BAY, WI 543115625 (Tel: 2185145230)

πŸ‘€
Provider Name / Credentials Updated February 07, 2026

Recorded as AUDRIELLE MOGG, BCBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2026

Behavior Analyst (license number reported to NPPES: MN 0-24-75781)

πŸ“
Updated Practice Location October 02, 2024

Registered at 5215 EDINA INDUSTRIAL BLVD STE 200, EDINA, MN 554392926 (Tel: 6125948405)

πŸ“
Updated Business Mailing Address October 02, 2024

Registered at 100 N PACIFIC COAST HWY STE 1400, EL SEGUNDO, CA 902455602 (Tel: 3108560800)

πŸ‘€
Provider Name / Credentials Updated October 02, 2024

Recorded as AUDRY BRIGGS, BCBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2024

Assistant Behavior Analyst (license number reported to NPPES: MN 0-24-14972)

πŸ“
Updated Practice Location June 28, 2024

Registered at 3401 ROUND LAKE BLVD NW, ANOKA, MN 553033315 (Tel: 6125097113)

πŸ“
Updated Business Mailing Address June 28, 2024

Registered at 3401 ROUND LAKE BLVD NW, ANOKA, MN 553033315 (Tel: 6125097113)

πŸ‘€
Provider Name / Credentials Updated June 28, 2024

Recorded as AUDRY BRIGGS, BCABA

πŸ“
Updated Practice Location January 05, 2024

Registered at 4140 RICHARD AVE STE 200&300, HERMANTOWN, MN 558112869 (Tel: 2185145230)

πŸ“
Updated Business Mailing Address January 05, 2024

Registered at 4140 RICHARD AVE STE 200&300, HERMANTOWN, MN 558112869 (Tel: 2185145230)

βœ…
NPI Profile Active October 21, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 21, 2021

Registered at 8151 SOUTHPARK LN UNIT 100, LITTLETON, CO 801204502 (Tel: 7206171581)

πŸ“
Business Mailing Address (Initial Record) October 21, 2021

Registered at 8151 SOUTHPARK LN UNIT 100, LITTLETON, CO 801204502 (Tel: 7206171581)

πŸ‘€
Provider Name / Credentials (Initial Record) October 21, 2021

Recorded as AUDRY BRIGGS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2021

Behavior Technician (license number reported to NPPES: CO RBT-21-182674)

🟒
Initial NPI Registration & Enumeration October 21, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1174286587
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 21, 2021
Last Update: February 07, 2026
Sole Proprietor: No

Mailing Address

1575 Allouez Ave

Green Bay, WI 543115625

Phone: 2185145230

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.