Individual provider Active NPI

Katlyn Marie Ziemann

  • Behavior Analyst
  • Woodbury, MN
National Provider Identifier
1013514645
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
LBA0032 Issued in MN
Practice address
2080 Wooddale Dr Ste 200
Woodbury, MN 55125-2924
Phone
(612) 201-2468
NPI assigned
Oct 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1550-140 WI
Behavior Analyst 103K00000X LBA0032 MN Primary

Addresses

Primary practice location

2080 Wooddale Dr Ste 200
Woodbury, MN 55125-2924

Mailing address

14881 58TH St N Apt 1D
Oak Park Heights, MN 55082-4392
Phone (715) 220-8655

Other practice location 1

1433 N Water St Ste 400
Milwaukee, WI 53202-2603
Phone (855) 832-6727

Other names 1

  • Katlyn Marie Fouks Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Behavior Frontiers, LLC Behavior Analyst CurrentSince Sep 15, 2024 Accepting new patients
Center for Speech, Language, and Learning, Inc. PastSince Oct 1, 2020 Accepting new patients
Center for Speech, Language and Learning, Inc. PastSince Oct 1, 2020 Accepting new patients
Bloomwell Behavioral Health Inc. Behavior Analyst Past Accepting new patients

Locations

100 N Pacific Coast Hwy
Ste 1400
El Segundo, CA 90245
Phone (310) 304-0532

3111 124th Ave NW
Ste 150
Coon Rapids, MN 55433
Phone (763) 272-5877

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1013514645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14881 58TH ST N APT 1D",
            "city": "OAK PARK HEIGHTS",
            "state": "MN",
            "postal_code": "550824392",
            "telephone_number": "715-220-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 WOODDALE DR STE 200",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252924",
            "telephone_number": "612-201-2468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1433 N Water St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532022603",
            "country_code": "US",
            "telephone_number": "855-832-6727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIEMANN",
        "first_name": "KATLYN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-06",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WI",
            "license": "1550-140",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MN",
            "license": "LBA0032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATLYN",
            "last_name": "FOUKS",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.