Amal Hassan Ahmed

Key facts

NPI

1255147682

Entity type

Individual (NPI type 1)

Primary specialty

Behavior Technician 106S00000X

Practice address

3500 E Lake St
Minneapolis, MN 55406-2151

Phone

(612) 298-2169

NPI assigned

Dec 10, 2024

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 10, 2024.

{
    "created_epoch": "1733788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1255147682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 E LAKE ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554062151",
            "telephone_number": "612-298-2169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 E LAKE ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554062151",
            "telephone_number": "612-298-2169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "AMAL",
        "middle_name": "HASSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-10",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

• Ahmedahir Abdikarim Ahmed
• Ahmediid M Ahmed
• Aisha Khadija Ahmed, PA-C
• Ali Mohamed Ahmed
• Aliya Ahmed
• Amira Ahmed
• Ammar Ahmed, MBBS, MSC
• Anisa Ahmed
• Ansar H Ahmed, MBBS
• Asad Ahmed

All providers in Minneapolis, MN · Behavior Technician in Minnesota