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Kaelan Rose Lucas , MA

Behavior Analyst β€’ Fridley, MN

Active NPI 1306567052 Individual Practitioner Female Practitioner
Practice location in NPPES

480 Osborne Rd Ne Ste 260
Fridley, MN 554322866

Call 6512436556 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

480 Osborne Rd Ne Ste 260

Fridley, MN 554322866

Telephone 6512436556
Fax 8555682494

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Fridley and Minnesota

6 active clinicians are listed under Behavior Analyst with a practice address in Fridley, MN (1,393 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-02-17
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES MN LBA0749

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. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

20 listed
Dr. Taylor Atchison , MD

Psychiatry & Neurology - Psychiatry

NPI 1811350515

Doctor of Medicine (M.D.)

NPI 1730516337

Doctor of Psychology (Psy.D.), Licensed Psychologist

Amy Cedar

Psychologist - Clinical

NPI 1710529003
Rita Cho

Nurse Practitioner - Psychiatric/Mental Health

NPI 1730819988
Rory Connolly

Nurse Practitioner - Psychiatric/Mental Health

NPI 1326701376
Dr. Yasser El-Hammamy , MD

Psychiatry & Neurology - Psychiatry

NPI 1225090095

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location February 17, 2026

Registered at 480 OSBORNE RD NE STE 260, FRIDLEY, MN 554322866 (Tel: 6512436556)

πŸ“
Updated Business Mailing Address February 17, 2026

Registered at 910 ALDINE ST, SAINT PAUL, MN 551041110 (Tel: 6513489944)

πŸ‘€
Provider Name / Credentials Updated February 17, 2026

Recorded as KAELAN LUCAS, MA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2026

Behavior Analyst (license number reported to NPPES: MN LBA0749)

βœ…
NPI Profile Active September 09, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 09, 2022

Registered at 1160 CENTRE POINTE DR STE 7, MENDOTA HEIGHTS, MN 551201377 (Tel: 9522153754)

πŸ“
Business Mailing Address (Initial Record) September 09, 2022

Registered at 3595 OWASSO ST APT 306, SHOREVIEW, MN 551263583 (Tel: 6513489944)

πŸ‘€
Provider Name / Credentials (Initial Record) September 09, 2022

Recorded as KAELAN LUCAS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 09, 2022

Behavior Technician

🟒
Initial NPI Registration & Enumeration September 09, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1306567052
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 09, 2022
Last Update: February 17, 2026
Sole Proprietor: No

Mailing Address

910 Aldine St

Saint Paul, MN 551041110

Phone: 6513489944

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.