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

Kellan J Anderson

Individual provider Behavior Technician · NPI 1093690653

Kellan J Anderson is a Behavior Technician in Maple Grove, Minnesota. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

8980 Zachary Ln N
Maple Grove, MN 55369-4018
Phone: (612) 559-4802
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1093690653
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 11, 2025
Last updated in NPPESAugust 11, 2025
Certification dateAugust 11, 2025
Mailing address8980 Zachary Ln N, Maple Grove, MN 55369-4018

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