Habone Goulled Moussa

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

434 Hayward Ave N
Oakdale, MN 55128-5379

Phone

(651) 739-2300

NPI assigned

May 21, 2024

Last updated

May 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Center for Speech, Language and Learning, Inc.

  dba Center for Speech Language Lea

  • Speech-Language Pathologist
  • Oakdale, MN
  • NPI 1164588307
  NPD
• Center for Speech, Language, and Learning, Inc.

  • Hearing and Speech Clinic/Center
  • Oakdale, MN
  • NPI 1588592471
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1275372161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3136 127TH AVE NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554492104",
            "telephone_number": "720-975-7462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 HAYWARD AVE N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551285379",
            "telephone_number": "651-739-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUSSA",
        "first_name": "HABONE",
        "middle_name": "GOULLED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yasmin Mohamed
• Amal Mohamed Mohamoud
• Fardowso Mohamud
• Christina Moses
• Robert E Most, M.D.
• Ayan Mukhtar
• Heather Mundis, M.A., LP
• National Home Healthcare Inc
• NBH Geneva LLC
• Maryama Kedir Nebi

• Behavior Technician in Oakdale, MN
• Providers in Oakdale, MN by specialty
• Behavior Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.