Khalid Adam
Individual provider Active NPI Behavior Technician · Minneapolis, MN
NPI 1023689270 · NPPES record last updated Jul 8, 2021
Key facts
- NPI
- 1023689270
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 2614 Nicollet Ave Ste 209
Minneapolis, MN 55408-1628 - Phone
- (612) 354-3995
- NPI assigned
- Jul 8, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smart Therapy Center LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
2614 Nicollet Ave Ste 209
Minneapolis, MN 55408-1628
Mailing address
2614 Nicollet Ave Ste 209
Minneapolis, MN 55408-1628
Phone (612) 354-3995
Other providers in Minneapolis, MN
- Asma Adam
- Bariituu I Adam
- Elizabeth Kate Adam
- Jamila Kedir Adam I
- Jeremy Heritage Adam
- Kos Adam
- Mary Elizabeth Adam
- Mohamed Adam
- Mushtaq Adam
- Patricia Adam
All providers in Minneapolis, MN · Behavior Technician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.