KENDALL RAE GILLUM
NPI 1235942368
Behavior Technician in Eagan, MN

Active since January 31, 2025
4635 NICOLS RD # 104, EAGAN, MN 55122(612) 289-6480 Get Directions Write a Review

NPPES record last updated: January 31, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kendall Rae Gillum NPPES

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

KENDALL RAE GILLUM (NPI 1235942368) is an individual behavior technician in Eagan, Minnesota and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1235942368
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameKENDALL RAE GILLUM
Location Address4635 NICOLS RD # 104Eagan, MN 55122-3337
Mailing Address4635 Nicols Rd # 104Eagan, MN 55122-3337 · (612) 289-6480
Sole ProprietorNo
Enumeration DateJanuary 31, 2025
NPPES CertifiedJanuary 31, 2025
NPI 1235942368 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.
4635 NICOLS RD # 104, Eagan, MN 55122

Other Names 1

Former Name (1)Kendall Rae Palma

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
4635 NICOLS RD # 104
EAGAN, MN 55122
Behavior Technician
4635 NICOLS RD # 104
EAGAN, MN 55122
Behavior Technician
4635 NICOLS RD # 104
EAGAN, MN 55122
Behavior Technician
4635 NICOLS RD # 104
EAGAN, MN 55122
Behavior Technician
4635 NICOLS RD # 104
EAGAN, MN 55122
Behavior Technician
4635 NICOLS RD # 104
EAGAN, MN 55122
Behavior Technician
4635 NICOLS RD # 104
EAGAN, MN 55122
Behavior Technician
4635 NICOLS RD # 104
EAGAN, MN 55122

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 Kendall Gillum's NPI number?

The NPI number for Kendall Gillum is 1235942368. It was assigned to this individual provider in the NPPES registry on January 31, 2025. The provider is also known as Kendall Rae Palma.

Where is Kendall Gillum located?

Kendall Gillum practices at 4635 Nicols Rd # 104, Eagan, MN 55122. The listed phone number is (612) 289-6480.

What is Kendall Gillum'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 Kendall Gillum was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.