KELLAN J ANDERSON
NPI 1093690653
Behavior Technician in Maple Grove, MN

Active since August 11, 2025
8980 ZACHARY LN N, MAPLE GROVE, MN 55369(612) 559-4802 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kellan J Anderson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLAN J ANDERSON (NPI 1093690653) is an individual behavior technician in Maple Grove, Minnesota and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1093690653
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameKELLAN J ANDERSON
Location Address8980 ZACHARY LN NMaple Grove, MN 55369-4018
Mailing Address8980 Zachary Ln NMaple Grove, MN 55369-4018 · (612) 559-4802
Sole ProprietorNo
Enumeration DateAugust 11, 2025
NPPES CertifiedAugust 11, 2025
NPI 1093690653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
8980 ZACHARY LN N, Maple Grove, MN 55369

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
8980 ZACHARY LN N
MAPLE GROVE, MN 55369
Behavior Technician
8980 ZACHARY LN N
MAPLE GROVE, MN 55369
Behavior Technician
8980 ZACHARY LN N
MAPLE GROVE, MN 55369
Behavior Technician
8980 ZACHARY LN N
MAPLE GROVE, MN 55369
Behavior Technician
8980 ZACHARY LN N
MAPLE GROVE, MN 55369
Behavior Technician
8980 ZACHARY LN N
MAPLE GROVE, MN 55369
Behavior Technician
8980 ZACHARY LN N
MAPLE GROVE, MN 55369
Behavior Technician
8980 ZACHARY LN N
MAPLE GROVE, MN 55369

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kellan Anderson's NPI number?

The NPI number for Kellan Anderson is 1093690653. It was assigned to this individual provider in the NPPES registry on August 11, 2025.

Where is Kellan Anderson located?

Kellan Anderson practices at 8980 Zachary Ln N, Maple Grove, MN 55369. The listed phone number is (612) 559-4802.

What is Kellan Anderson's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Kellan Anderson was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.