Active NPI
Yasmin Ahmed Yusuf IV
- Behavior Technician
- Blaine, MN
National Provider Identifier
1225928849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- S000136039500
- Practice address
- 4427 124TH LN NE
Blaine, MN 55449-6295 - Phone
- (763) 485-9355
- NPI assigned
- Jul 7, 2025
- 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 Technician | 106S00000X | S000136039500 | MN | Primary |
Addresses
Primary practice location
4427 124TH LN NE
Blaine, MN 55449-6295
Mailing address
4427 124TH LN NE
Blaine, MN 55449-6295
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S000136039500 | MN | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751846400000",
"number": "1225928849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4427 124TH LN NE",
"city": "BLAINE",
"state": "MN",
"postal_code": "554496295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4427 124TH LN NE",
"city": "BLAINE",
"state": "MN",
"postal_code": "554496295",
"telephone_number": "763-485-9355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YUSUF",
"first_name": "YASMIN",
"middle_name": "AHMED",
"name_suffix": "IV",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-07",
"last_updated": "2025-07-07",
"certification_date": "2025-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "MN",
"license": "S000136039500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blaine, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.