Kaylee Mae Athmann
Individual provider Active NPI Behavior Analyst · Rogers, MN
NPI 1144843756 · NPPES record last updated May 19, 2020
Key facts
- NPI
- 1144843756
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 14000 Northdale Blvd Ste a
Rogers, MN 55374-4663 - Phone
- (763) 428-2478
- NPI assigned
- May 19, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 Matters, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
14000 Northdale Blvd Ste a
Rogers, MN 55374-4663
Mailing address
1214 Millstone CT
Saint Cloud, MN 56303-9568
Phone (320) 249-1753
Other providers in Rogers, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2020. 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.