KENDALL RAE GILLUM
NPI 1235942368
Behavior Technician in Eagan, MN
- Individual
- Female
- Behavior Technician
About KENDALL GILLUM
This page provides the complete NPI Profile along with additional information for Kendall Gillum, a provider established in Eagan, Minnesota with a medical specialization in Behavior Technician. The healthcare provider is registered in the NPI registry with number 1235942368 assigned on January 2025. The practitioner's primary taxonomy code is 106S00000X. The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1235942368 Verify this NPI
- Provider Name
- KENDALL RAE GILLUM
- Other Name
- KENDALL RAE PALMA
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4635 NICOLS RD # 104 EAGAN, MN 55122
- Location Phone
- (612) 289-6480
- Mailing Address
- 4635 NICOLS RD # 104 EAGAN, MN 55122
- Mailing Phone
- (612) 289-6480
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-31-2025
- Last Update Date
- 01-31-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Behavior Technician
- Taxonomy Code
- 106S00000X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235942368, enumerated as an "individual" on January 31, 2025.
The provider is located at 4635 NICOLS RD # 104 EAGAN, MN 55122 and the phone number is (612) 289-6480.
Behavior Technician with taxonomy code 106S00000X.
