IndividualActive
Kaitlin Ellingsworth
NPI 1417692088 · Behavior Technician · Shakopee, MN
Kaitlin Ellingsworth is a Behavior Technician provider in Shakopee, MN (NPI 1417692088).
Provider details
- NPI number
- 1417692088
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES 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
4201 Dean Lakes Blvd
Shakopee, MN 55379-2829
Phone: (612) 509-6680
Street-level locationGet directions
Mailing address
27750 Teale Ave
New Prague, MN 56071-8870
Registry dates
- Enumerated
- 2022-04-28
- Last updated
- 2022-04-28
- Certified
- 2022-04-28
Frequently asked questions
- What is Kaitlin Ellingsworth's NPI number?
- Kaitlin Ellingsworth's National Provider Identifier (NPI) is 1417692088, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kaitlin Ellingsworth's specialty?
- Kaitlin Ellingsworth is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Kaitlin Ellingsworth located?
- Kaitlin Ellingsworth's practice location on file with NPPES is 4201 Dean Lakes Blvd, Shakopee, MN 55379-2829.
- What is Kaitlin Ellingsworth's phone number?
- The practice phone number listed in the NPPES registry for Kaitlin Ellingsworth is (612) 509-6680.
- Is Kaitlin Ellingsworth's NPI active?
- Yes — Kaitlin Ellingsworth's NPI (1417692088) is active in the NPPES registry as of the last update on 2022-04-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.