Keegan Andersen

Individual provider Active NPI Behavior Technician · Cedar Rapids, IA

NPI 1659200772 · NPPES record last updated May 15, 2026

Key facts

NPI
1659200772
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
2811 Wiley Blvd SW Ste 800
Cedar Rapids, IA 52404-3228
Phone
(574) 387-4313
NPI assigned
May 15, 2026
Sex
Unspecified or another gender identity
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

2811 Wiley Blvd SW Ste 800
Cedar Rapids, IA 52404-3228

Mailing address

2811 Wiley Blvd SW Ste 800
Cedar Rapids, IA 52404-3228

Other providers in Cedar Rapids, IA

All providers in Cedar Rapids, IA · Behavior Technician in Iowa

Sources for this page

Verify at the official NPI Registry.