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KAITLIN BUCKELEW
NPI 1780208132
Behavior Analyst in Minnetonka, MN

Active since June 02, 2020
5860 BAKER RD, MINNETONKA, MN 55345(612) 488-9019 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 24, 2025, Jun 2, 2020 (2 updates tracked since 2020).

About Kaitlin Buckelew NPPES

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

KAITLIN BUCKELEW (NPI 1780208132) is an individual behavior analyst provider in Minnetonka, Minnesota, licensed in Minnesota (LBA0261) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1780208132
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameKAITLIN BUCKELEW
Location Address5860 BAKER RDMinnetonka, MN 55345-5903
Mailing Address537 Deltona BlvdDeltona, FL 32725-8017 · (904) 878-8683 · Fax (386) 200-5752
Phone(612) 488-9019
Sole ProprietorNo
Enumeration DateJune 2, 2020
Last NPPES UpdateFebruary 24, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2025
✔ NPI 1780208132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License✔ Licensed in MN · LBA0261
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
5860 BAKER RD, Minnetonka, MN 55345
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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.

BRITTANY FISK
Behavior Technician
5860 BAKER RD
MINNETONKA, MN 55345
Hennepin County (952) 767-4200
HARLIE JO JACOBSEN
Behavior Technician
5860 BAKER RD
MINNETONKA, MN 55345
Hennepin County (952) 767-4200
JENNIFER PETZOLDT
Counselor (Professional)
5860 BAKER RD
MINNETONKA, MN 55345
Hennepin County (612) 759-2697
NICOLE ANGELINE JORDAHL
Behavior Technician
5860 BAKER RD
MINNETONKA, MN 55345
Hennepin County (952) 767-4200
REBECCA KAY HARRIS BA
Behavior Technician
5860 BAKER RD
MINNETONKA, MN 55345
Hennepin County (952) 767-4200
EMILY CATHERINE TAUTGES
Behavior Technician
5860 BAKER RD
MINNETONKA, MN 55345
Hennepin County (952) 767-4200
KIRSTEN COLLEEN HALEY BS
Behavior Technician
5860 BAKER RD
MINNETONKA, MN 55345
Hennepin County (952) 767-4200
CARRIE CIKANEK
Behavior Technician
5860 BAKER RD
MINNETONKA, MN 55345
Hennepin County (952) 767-4200

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 Kaitlin Buckelew's NPI number?

The NPI number for Kaitlin Buckelew is 1780208132. It was assigned to this individual provider in the NPPES registry on June 2, 2020.

Where is Kaitlin Buckelew located?

Kaitlin Buckelew practices at 5860 Baker Rd, Minnetonka, MN 55345. The listed phone number is (612) 488-9019.

What is Kaitlin Buckelew's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Kaitlin Buckelew was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.