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Kimberley Diana Odegaard

Behavior Analyst β€’ Saint Cloud, MN

Active NPI 1023440617 Individual Practitioner Female Practitioner
Practice location in NPPES

3721 23rd St S Ste 201
Saint Cloud, MN 563016199

Call 6052712690 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

3721 23rd St S Ste 201

Saint Cloud, MN 563016199

Telephone 6052712690
Organization at the Same NPPES Address or Phone
Abaecare Llc Facility NPI 1154080299

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Fargo, ND; Sioux Falls, SD. 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

2013

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 Saint Cloud and Minnesota

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Saint Cloud

0% of these 126 clinicians have the CMS telehealth indicator.

0% of these 126 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: 2024-04-17
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

1105 W Russell St

Sioux Falls, SD 571041322

Phone: 6052712690

2624 9th Ave S

Fargo, ND 581032350

Phone: 7012984500

Career & Practice History Timeline

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

8 Historical Events
πŸ“
Updated Practice Location April 17, 2024

Registered at 3721 23RD ST S STE 201, SAINT CLOUD, MN 563016199 (Tel: 6052712690)

πŸ“
Updated Business Mailing Address April 17, 2024

Registered at 1105 W RUSSELL ST, SIOUX FALLS, SD 571041322 (Tel: 6052712690)

βœ…
NPI Profile Active August 20, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 20, 2013

Registered at 2624 9TH AVE S, FARGO, ND 581032350 (Tel: 7012984500)

πŸ“
Business Mailing Address (Initial Record) August 20, 2013

Registered at 2624 9TH AVE S, FARGO, ND 581032350 (Tel: 7012984500)

πŸ‘€
Provider Name / Credentials (Initial Record) August 20, 2013

Recorded as KIMBERLEY ODEGAARD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2013

Behavior Analyst

🟒
Initial NPI Registration & Enumeration August 06, 2013

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1023440617
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 06, 2013
Last Update: April 17, 2024
Sole Proprietor: No

Mailing Address

1105 W Russell St

Sioux Falls, SD 571041322

Phone: 6052712690

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.