Active NPI
Jenna Hassanein Raad
- Behavior Analyst
- Bloomington, MN
National Provider Identifier
1053995597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- LBA0975
- Practice address
- 7901 Xerxes Ave S Ste 116
Bloomington, MN 55431-1200 - Phone
- (612) 201-2468
- NPI assigned
- May 11, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | LBA0975 | MN | Primary |
Addresses
Primary practice location
7901 Xerxes Ave S Ste 116
Bloomington, MN 55431-1200
Mailing address
6881 Channel Rd NE
Fridley, MN 55432-4619
Phone (612) 434-9679
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785110400000",
"number": "1053995597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6881 CHANNEL RD NE",
"city": "FRIDLEY",
"state": "MN",
"postal_code": "554324619",
"telephone_number": "612-434-9679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7901 XERXES AVE S STE 116",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554311200",
"telephone_number": "612-201-2468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAAD",
"first_name": "JENNA",
"middle_name": "HASSANEIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-11",
"last_updated": "2026-07-27",
"certification_date": "2026-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MN",
"license": "LBA0975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.