NPI 1124646625 · live from the CMS NPI Registry
Kylie Aanerud
Behavior Analyst in Plymouth, MN. National Provider Identifier 1124646625, active.
NPI record
| NPI | 1124646625 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 3007 Harbor Ln N, Plymouth, MN 55447 |
| Practice phone | 507-322-7752 |
| Mailing address | 3010 Sumter Ave N Apt 11, Crystal, MN 55427 |
| Enumerated | July 10, 2020 |
| Last updated | December 22, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 1-22-63211 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.