Kylie H H Balaun, MS, LBA, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

LBA0023 Issued in MN

Practice address

4911 Learning LN
Red Wing, MN 55066-4533

Phone

(651) 360-3202

Fax

(651) 369-2833

NPI assigned

Sep 8, 2020

Sex

Female

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• River City Therapy Center, LLC

  • Community/Behavioral Health Agency
  • Red Wing, MN
  • NPI 1275279655

  Behavior Analyst

  NPD Authorized official
• Center for Speech, Language and Learning, Inc.

  • Speech-Language Pathologist
  • Oakdale, MN
  • NPI 1164588307
  NPD (past)
• Center for Speech, Language, and Learning, Inc.

  • Hearing and Speech Clinic/Center
  • Oakdale, MN
  • NPI 1588592471
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 5, 2025.

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736035200000",
    "number": "1275147183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33693 HIBERNIA ST",
            "city": "FRONTENAC",
            "state": "MN",
            "postal_code": "550261002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4911 LEARNING LN",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550664533",
            "telephone_number": "651-360-3202",
            "fax_number": "651-369-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALAUN",
        "first_name": "KYLIE",
        "middle_name": "H H",
        "name_prefix": "Mrs.",
        "credential": "MS, LBA, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2025-01-05",
        "certification_date": "2025-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MN",
            "license": "LBA0023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Augustine Chiropractic LLC
• Abby Louise Axelson
• David W Bahl, MD
• Jennifer Rose Bailey, PHD
• Daniel Martin Balaun
• Lisa Joyce Balaun, MS
• Balcome and Dicke Psychology Professionals
• Kim Stacy Baldwin, PHD LP
• Christopher James Ball, CRNA
• Carrie Ann Balster, NURSE PRACTITIONER

• All providers in Red Wing, MN
• Behavior Analyst in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.