Cheyenne Kumar-Rodgers

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

LBA0256 Issued in MN

Practice address

314 10TH Ave S Ste 100
Waite Park, MN 56387-1968

Phone

(612) 767-7965

NPI assigned

May 19, 2021

Last updated

Mar 27, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1295309649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 PARKWAY CIR STE 300",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 10TH AVE S STE 100",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563871968",
            "telephone_number": "612-767-7965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6701 Parkway Cir Ste 300",
            "address_purpose": "LOCATION",
            "city": "Brooklyn Center",
            "state": "MN",
            "postal_code": "554302849",
            "country_code": "US",
            "telephone_number": "612-331-9413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUMAR-RODGERS",
        "first_name": "CHEYENNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MN",
            "license": "LBA0256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Jean Grace Kuberka
• Dawn Marie Kuhl, MSW
• Ruth Marie Kuhlman, LP
• Michelle Marie Rothfork Kuhlmann, RN
• Natalie Elizabeth Kuhlmann, CMT
• Jennifer Michelle Lage
• Kasey Nicole Laird
• Kirk L Lamb, PH D
• Heather Landwehr
• Emily Larsen

• Behavior Analyst in Waite Park, MN
• Providers in Waite Park, MN by specialty
• Behavior Analyst in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.