Individual provider Active NPI

Abigail Ailene Marie Ryden

  • Behavior Analyst
  • Plymouth, MN
National Provider Identifier
1356116552
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
LBA0944 Issued in MN
Practice address
2905 Northwest Blvd Ste 100
Plymouth, MN 55441-2605
Phone
(763) 999-7395
NPI assigned
Nov 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X LBA0944 MN Primary

Addresses

Primary practice location

2905 Northwest Blvd Ste 100
Plymouth, MN 55441-2605

Mailing address

712 Schubert Dr
Buffalo, MN 55313-2133

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

LicenseStateTypeSpecialty
LBA0944MNMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Axis Therapy Centers Behavior Technician CurrentSince Dec 24, 2023 Accepting new patients
KP Enterprises Iowa Behavior Analyst PastSince Nov 19, 2023 Accepting new patients

Locations

1315 S Bell Ave
Ste 108
Ames, IA 50010
Phone (515) 337-0343

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1356116552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 SCHUBERT DR",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553132133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 NORTHWEST BLVD STE 100",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412605",
            "telephone_number": "763-999-7395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYDEN",
        "first_name": "ABIGAIL",
        "middle_name": "AILENE MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-17",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MN",
            "license": "LBA0944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.

Verify at the official NPI Registry.