Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1740779644 Individual Practitioner Female Practitioner

Andrea Niccole Kornelis

Behavior Analyst • Minot, ND

Professional Overview & Biography Verified Profile Summary

Andrea Kornelis is a registered healthcare professional specializing in Behavior Analyst in Minot, ND. Practice services are available at 400 18TH AVE SE APT 55 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

400 18th Ave Se Apt 55

Minot, ND 587016613

Telephone 7074507587
Associated Practice Facility / Clinic
🏢 Total Behavior Support Llc Facility NPI 1518541713

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Minot, ND

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
14 Specialists

Practicing in Minot, ND (100 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-05-21
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License None 1-20-44631

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Behavioral Health
106S00000X (CO)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location May 21, 2021

Registered at 400 18TH AVE SE APT 55, MINOT, ND 587016613 (Tel: 7074507587)

📍
Updated Business Mailing Address May 21, 2021

Registered at 400 18TH AVE SE APT 55, MINOT, ND 587016613 (Tel: 7074507587)

📍
Updated Practice Location September 22, 2020

Registered at 265 S HARLAN ST, LAKEWOOD, CO 802262261 (Tel: 7202721289)

📍
Updated Business Mailing Address September 22, 2020

Registered at 265 S HARLAN ST, LAKEWOOD, CO 802262261 (Tel: 7202721289)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 22, 2020

Behavior Analyst (License #1-20-44631 in None)

📍
Updated Practice Location August 09, 2018

Registered at 1704 WESTLAND RD, CHEYENNE, WY 82001 (Tel: 3072222400)

📍
Updated Business Mailing Address August 09, 2018

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

NPI Profile Active May 07, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location May 07, 2018

Registered at 2551 E COUNTY ROAD 62E, WELLINGTON, CO 805491502 (Tel: 7202953790)

📍
Updated Business Mailing Address May 07, 2018

Registered at 7610 15TH AVE SE, MINOT, ND 587019352 (Tel: 7074507587)

👤
Provider Name / Credentials Updated May 07, 2018

Recorded as ANDREA KORNELIS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2018

Behavior Technician

🟢
Initial NPI Registration & Enumeration May 07, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1740779644
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 07, 2018
Last Update: May 21, 2021
Sole Proprietor: No

Mailing Address

400 18th Ave Se Apt 55

Minot, ND 587016613

Phone: 7074507587

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.