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Kyle Gangl , BCBA

Behavior Analyst β€’ Maple Grove, MN

Active NPI 1669016077 Individual Practitioner Male Practitioner
Practice location in NPPES

7001 E Fish Lake Rd Ste 200
Maple Grove, MN 553112844

Call 6122605022 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

7001 E Fish Lake Rd Ste 200

Maple Grove, MN 553112844

Telephone 6122605022
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Rogers, MN. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2019

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 Maple Grove and Minnesota

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Maple Grove

0% of these 21 clinicians have the CMS telehealth indicator.

0% of these 21 clinicians are listed by CMS as accepting Medicare assignment.

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: 2024-10-04
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

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

Secondary Practice Locations

14000 Northdale Blvd Ste A

Rogers, MN 553744663

Phone: 7634282478

Career & Practice History Timeline

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

9 Historical Events
πŸ“
Updated Practice Location October 04, 2024

Registered at 7001 E FISH LAKE RD STE 200, MAPLE GROVE, MN 553112844 (Tel: 6122605022)

πŸ“
Updated Business Mailing Address October 04, 2024

Registered at 16630 72ND CT NE, OTSEGO, MN 553306554 (Tel: 6127413909)

πŸ‘€
Provider Name / Credentials Updated October 04, 2024

Recorded as KYLE GANGL, BCBA

βœ…
NPI Profile Active October 30, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 30, 2019

Registered at 14000 NORTHDALE BLVD STE A, ROGERS, MN 553744663 (Tel: 7634282478)

πŸ“
Business Mailing Address (Initial Record) October 30, 2019

Registered at 14000 NORTHDALE BLVD STE A, ROGERS, MN 553744663 (Tel: 7634282478)

πŸ‘€
Provider Name / Credentials (Initial Record) October 30, 2019

Recorded as KYLE GANGL, RBT,MHP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2019

Behavior Analyst

🟒
Initial NPI Registration & Enumeration October 30, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1669016077
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 30, 2019
Last Update: October 04, 2024
Sole Proprietor: No

Mailing Address

16630 72nd Ct Ne

Otsego, MN 553306554

Phone: 6127413909

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.