Individual provider · Type 1 NPI

Kaelan Rose Lucas, MA

Behavior Analyst · Fridley, MN

NPI number 1306567052 Active

Practice location

480 Osborne Rd NE Ste 260
Fridley, MN 55432-2866

Call (651) 243-6556 Map

Fax (855) 568-2494

Mailing address

910 Aldine St
St. Paul, MN 55104-1110

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000XLBA0749 (MN)

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1306567052

Kaelan Rose Lucas, MA's National Provider Identifier is 1306567052, issued on Sep 9, 2022. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Fridley, MN. The record was last updated on Feb 17, 2026.