Kelsey Marie Adair, BCBA
Individual provider Active NPI Behavior Analyst · Hugo, MN
NPI 1144815580 · NPPES record last updated Apr 14, 2023
Key facts
- NPI
- 1144815580
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-20-45581 (MN)
- Practice address
- 14663 Mercantile Dr N
Hugo, MN 55038-4559 - Phone
- (651) 405-3156
- NPI assigned
- Mar 8, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autism Services of Minnesota | Current | Accepting new patients | |
| Helena Autism Therapy Center, Inc | Past |
Accepting new patients |
Locations
10190 Baltimore St NE
Ste 200
Blaine, MN 55449
Phone (612) 400-5731
14663 Mercantile Dr N
Hugo, MN 55038
Phone (612) 405-3156
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-20-45581 | MN | Yes |
Addresses
Primary practice location
14663 Mercantile Dr N
Hugo, MN 55038-4559
Mailing address
14663 Mercantile Dr N
Hugo, MN 55038-4559
Other providers in Hugo, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.