Individual provider Active NPI

Kirk Allen Arndt, LBA

  • Behavior Analyst
  • Willmar, MN
National Provider Identifier
1114714755
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
LBA501 Issued in MN
Practice address
401 24TH Ave SE Apt 108
Willmar, MN 56201-5333
Phone
(320) 582-2491
NPI assigned
Apr 24, 2025
Last updated
Apr 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X LBA501 MN Primary

Addresses

Primary practice location

401 24TH Ave SE Apt 108
Willmar, MN 56201-5333

Mailing address

401 24TH Ave SE Apt 108
Willmar, MN 56201-5333
Phone (320) 582-2491

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

State licenses

LicenseStateTypeSpecialty
LBA501MNMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1745452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1114714755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 24TH AVE SE APT 108",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562015333",
            "telephone_number": "320-582-2491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 24TH AVE SE APT 108",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562015333",
            "telephone_number": "320-582-2491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNDT",
        "first_name": "KIRK",
        "middle_name": "ALLEN",
        "credential": "LBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-24",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MN",
            "license": "LBA501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willmar, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.