Active NPI
Nathan John Coleman
- Behavior Analyst
- Maplewood, MN
National Provider Identifier
1235808841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- LBA0304
- Practice address
- 1973 Sloan PL Ste 100
Maplewood, MN 55117-2085 - Phone
- (651) 797-4821
- Fax
- (651) 369-9887
- NPI assigned
- Sep 8, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | LBA0304 | MN | Primary |
Addresses
Primary practice location
1973 Sloan PL Ste 100
Maplewood, MN 55117-2085
Mailing address
9536 Jackson St NE
Blaine, MN 55434-2580
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
| License | State | Type | Specialty |
|---|---|---|---|
| LBA0304 | MN | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavior Frontiers, LLC | Behavior Analyst | Current | Accepting new patients |
| Autism Institute of Minnesota LLP | Behavior Analyst | Past | Accepting new patients |
| Holland Center | Past | Accepting new patients |
Locations
100 N Pacific Coast Hwy
Ste 1400
El Segundo, CA 90245
Phone (310) 304-0532
13601 80th Cir N
Ste 200
Maple Grove, MN 55369
Phone (763) 272-5877
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Early Intervention Provider Agency
- Maplewood, MN
- NPI 1932821477
Behavior Analyst
-
- Developmentally Disabled Services Day Training Agency
- Minnetonka, MN
- NPI 1467641555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779321600000",
"number": "1235808841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9536 JACKSON ST NE",
"city": "BLAINE",
"state": "MN",
"postal_code": "554342580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1973 SLOAN PL STE 100",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551172085",
"telephone_number": "651-797-4821",
"fax_number": "651-369-9887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "NATHAN",
"middle_name": "JOHN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-09-08",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MN",
"license": "LBA0304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maplewood, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.