Individual provider Active NPI

Hamda Dirrir

  • Behavior Technician
  • Lake Elmo, MN
National Provider Identifier
1295619872
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
8530 Eagle Point Blvd Ste 100
Lake Elmo, MN 55042-8648
Phone
(651) 303-7365
NPI assigned
Aug 5, 2025
Last updated
Aug 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

8530 Eagle Point Blvd Ste 100
Lake Elmo, MN 55042-8648

Mailing address

8530 Eagle Point Blvd Ste 100
Lake Elmo, MN 55042-8648
Phone (651) 303-7365

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": "1754352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1295619872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8530 EAGLE POINT BLVD STE 100",
            "city": "LAKE ELMO",
            "state": "MN",
            "postal_code": "550428648",
            "telephone_number": "651-303-7365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8530 EAGLE POINT BLVD STE 100",
            "city": "LAKE ELMO",
            "state": "MN",
            "postal_code": "550428648",
            "telephone_number": "651-303-7365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIRRIR",
        "first_name": "HAMDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-05",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Elmo, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.

Verify at the official NPI Registry.