Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Kelly Marie Carlson, CCC-SLP

Individual provider Behavior Technician · NPI 1508928961

Mrs. Kelly Marie Carlson, CCC-SLP is a Behavior Technician in Burnsville, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

1517 Highway 13 E
Burnsville, MN 55337-2917
Phone: (612) 756-9107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (MN)

Record details

NPI number1508928961
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedDecember 14, 2006
Last updated in NPPESJune 8, 2026
Certification dateJune 8, 2026

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