Active NPI
Aila Dale Haku
- Behavior Technician
- Saint Paul, MN
National Provider Identifier
1114805124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 4635 Nicols Rd # 104
Saint Paul, MN 55122-3337 - Phone
- (651) 900-2210
- NPI assigned
- Aug 26, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 Technician | 106S00000X | Primary |
Addresses
Primary practice location
4635 Nicols Rd # 104
Saint Paul, MN 55122-3337
Mailing address
4635 Nicols Rd # 1044635
Saint Paul, MN 55122-3337
Phone (651) 900-2210
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minnesota Behavioral Specialists | Single Specialty | Current | Accepting new patients |
Locations
4635 Nicols Rd
Ste 104
Saint Paul, MN 55122
Phone (612) 289-6480
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756166400000",
"number": "1114805124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4635 NICOLS RD # 1044635",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551223337",
"telephone_number": "651-900-2210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4635 NICOLS RD # 104",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551223337",
"telephone_number": "651-900-2210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAKU",
"first_name": "AILA",
"middle_name": "DALE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-26",
"last_updated": "2025-08-26",
"certification_date": "2025-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.