Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Katlyn Tennyson

Individual provider Behavior Analyst · NPI 1538721022

Katlyn Tennyson is a Behavior Analyst in Maple Grove, Minnesota. Licensed in Massachusetts and Minnesota. Registered with an NPI since 2019.

Licensed in
MA, MN
In the registry since
2019
Specialties on file
3

Practice location Address checks out

7001 E Fish Lake Rd
Maple Grove, MN 55311-2841
Phone: (508) 768-8008
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-19-38331 (MN)
Behavior Analyst Taxonomy 103K00000X · Licence 2950-MH-B1 (MA)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1538721022
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 3, 2019
Last updated in NPPESOctober 24, 2023
Certification dateOctober 24, 2023
Mailing address199 South St, Northborough, MA 01532-2330

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