What is Kellan Anderson's NPI number?

Kellan Anderson's National Provider Identifier (NPI) is 1093690653, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kellan Anderson's specialty?

Kellan Anderson is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).

Where is Kellan Anderson located?

Kellan Anderson's practice location on file with NPPES is 8980 Zachary Ln N, Maple Grove, MN 55369-4018.

What is Kellan Anderson's phone number?

The practice phone number listed in the NPPES registry for Kellan Anderson is (612) 559-4802.

Is Kellan Anderson's NPI active?

Yes — Kellan Anderson's NPI (1093690653) is active in the NPPES registry as of the last update on 2025-08-11.

IndividualActive

Kellan Anderson

NPI 1093690653 · Behavior Technician · Maple Grove, MN

Kellan Anderson is a Behavior Technician provider in Maple Grove, MN (NPI 1093690653).

Provider details

NPI number: 1093690653
Entity type: Individual
Primary specialty: Behavior TechnicianBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Behavior TechnicianPrimary106S00000X
Behavioral Health & Social Service Providers

Profile Score

Basic profile(48/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

8980 Zachary Ln N

Maple Grove, MN 55369-4018

Phone: (612) 559-4802

Street-level locationGet directions

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Mailing address