Katlyn Tennyson
Behavior Analyst in Maple Grove, Minnesota
1538721022- Practice location
- 7001 E Fish Lake RD, Maple Grove, MN 55311-2841
- Phone
- 508-768-8008
- Fax
- —
- Last updated
- October 24, 2023
Katlyn Tennyson is a Behavior Analyst based in Maple Grove, MN. Katlyn Tennyson practices in Maple Grove, MN. The NPI Number for Katlyn Tennyson is 1538721022 and holds a License No. 2950-MH-B1 (MA). The current practice location address for Katlyn Tennyson is 7001 E Fish Lake RD, Maple Grove, MN 55311-2841 and can be reached out via phone at 508-768-8008.
Provider Profile Details
- NPI Number
- 1538721022
- Provider Name
- Katlyn Tennyson
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 7001 E Fish Lake RD, Maple Grove, MN 55311-2841
- Phone Number
- 508-768-8008
- Primary Taxonomy
- Behavior Analyst · 103K00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 3, 2019
- Last Update Date
- October 24, 2023
- Certification Date
- October 24, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 7001 E Fish Lake RD
Maple Grove, MN 55311-2841 - City
- Maple Grove
- State
- Minnesota
- Zip
- 55311-2841
- Phone Number
- 508-768-8008
Provider Business Mailing Address Details
- Address
- 199 South St
Northborough, MA 01532-2330 - City
- Northborough
- State
- MA
- Zip
- 01532-2330
- Phone Number
- 508-768-8008
License Information
- License Number (1)
- 2950-MH-B1
- License State (1)
- MA
- Taxonomy (1)
- Behavior Analyst · 103K00000X
- Taxonomy (2)
- Behavior Technician · 106S00000X
- License Number (3)
- 1-19-38331
- License State (3)
- MN
- Taxonomy (3)
- Behavior Analyst · 103K00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Behavior Analysts near Maple Grove, MN
View all Behavior Analysts in Maple Grove →Frequently Asked Questions
What is the NPI number of Katlyn Tennyson?
The NPI number of Katlyn Tennyson is 1538721022. It was assigned on July 3, 2019 and is currently active in the NPPES registry.
What is the specialty of Katlyn Tennyson?
Katlyn Tennyson is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in MA under license number 2950-MH-B1.
Where does Katlyn Tennyson practice?
The practice location is 7001 E Fish Lake RD, Maple Grove, MN 55311-2841. The office can be reached at 508-768-8008 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1538721022 directly on the NPPES registry website.