Hanie Ali Farah

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

4236 Park Glen Rd
Saint Louis Park, MN 55416-4758

Phone

(952) 888-7055

NPI assigned

Aug 4, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Iska Inc

  • Developmentally Disabled Services Day Training Agency
  • St Louis, MN
  • NPI 1053772939
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1013699396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4236 PARK GLEN RD",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554164758",
            "telephone_number": "952-888-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4236 PARK GLEN RD",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554164758",
            "telephone_number": "952-888-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARAH",
        "first_name": "HANIE",
        "middle_name": "ALI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-04",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Orthodontics PA
• Family Therapy & Recovery Ctr
• Family Tree Chiropractic Clinic
• Family West Chiropractic PA.
• Jill Fancher, PHARM D
• Julie M Farias, M.D.
• Amanda Lynn Farrell
• James Brad Farrell
• Robbie Fast, MS, CCC-SLP
• Jina Faurot, M.S., C.G.C.

• Behavior Technician in Saint Louis Park, MN
• Providers in Saint Louis Park, MN by specialty
• Behavior Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.