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Seth Sorum

Behavior Analyst β€’ Hermantown, MN

Active NPI 1134762016 Individual Practitioner Male Practitioner
Practice location in NPPES

5155 Miller Trunk Hwy
Hermantown, MN 558111203

Call 6124889043 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

5155 Miller Trunk Hwy

Hermantown, MN 558111203

Telephone 6124889043
Organization at the Same NPPES Address or Phone
Autism Opportunities Foundation Facility NPI 1821362450

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

NPI first issued

2019

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Addresses are self-reported to NPPES and may be out of date.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: 2025-11-14
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES MN LBA0084

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

9 Historical Events
πŸ“
Updated Practice Location November 14, 2025

Registered at 5155 MILLER TRUNK HWY, HERMANTOWN, MN 558111203 (Tel: 6124889043)

πŸ“
Updated Business Mailing Address November 14, 2025

Registered at 5860 BAKER RD, MINNETONKA, MN 553455903 (Tel: 6124889043)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2025

Behavior Analyst (license number reported to NPPES: MN LBA0084)

βœ…
NPI Profile Active October 23, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 23, 2019

Registered at 891 BELSLY BLVD, MOORHEAD, MN 565605055 (Tel: 2182874338)

πŸ“
Business Mailing Address (Initial Record) October 23, 2019

Registered at 891 BELSLY BLVD, MOORHEAD, MN 565605055

πŸ‘€
Provider Name / Credentials (Initial Record) October 23, 2019

Recorded as SETH SORUM

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2019

Specialist

🟒
Initial NPI Registration & Enumeration October 23, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1134762016
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 23, 2019
Last Update: November 14, 2025
Sole Proprietor: No

Mailing Address

5860 Baker Rd

Minnetonka, MN 553455903

Phone: 6124889043

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.