Kalkidan Marekegn Tewodros

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

13693 Atwood TRL
Rosemount, MN 55068-3703

Phone

(651) 350-7968

Fax

(651) 350-7974

NPI assigned

Dec 29, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1766966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1164388609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13693 ATWOOD TRL",
            "city": "ROSEMOUNT",
            "state": "MN",
            "postal_code": "550683703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13693 ATWOOD TRL",
            "city": "ROSEMOUNT",
            "state": "MN",
            "postal_code": "550683703",
            "telephone_number": "651-350-7968",
            "fax_number": "651-350-7974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEWODROS",
        "first_name": "KALKIDAN",
        "middle_name": "MAREKEGN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-29",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Support Ventures
• Kimberly Swanson, LPCC
• Julie Szambelan, RPH
• Alyssa Ann Teachman
• Alana Testa, MSW, LICSW
• Hannah Brigit Tharayil, PHARMD
• The Maxwell House
• Abigail Thebault-Spieker
• Jason Jon Thimjon, D.D.S.
• Coral May Thomas-Prokasky, LPN

• Behavior Technician in Rosemount, MN
• Providers in Rosemount, MN by specialty
• Behavior Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.