Individual provider Active NPI

Ikram Hassan Osman

  • Behavior Technician
  • Eden Prairie, MN
National Provider Identifier
1336914977
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
8937 Aztec Dr
Eden Prairie, MN 55347-2635
Phone
(952) 529-8769
Fax
(612) 545-0101
NPI assigned
Nov 22, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 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

8937 Aztec Dr
Eden Prairie, MN 55347-2635

Mailing address

8937 Aztec Dr
Eden Prairie, MN 55347-2635
Phone (952) 529-8769

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

OrganizationSpecialtyStatusNew patients
Wellness Early Development CurrentSince Nov 26, 2023 Accepting new patients
Khair Recovery Center Inc. CurrentSince Dec 21, 2025 Accepting new patients

Locations

2748 E 82nd St
Bloomington, MN 55425
Phone (651) 322-0152

8937 Aztec Dr
Eden Prairie, MN 55347
Phone (952) 529-8769

Organizations & group practices 2

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": "1700611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1336914977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8937 AZTEC DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553472635",
            "telephone_number": "952-529-8769",
            "fax_number": "612-545-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8937 AZTEC DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553472635",
            "telephone_number": "952-529-8769",
            "fax_number": "612-545-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSMAN",
        "first_name": "IKRAM",
        "middle_name": "HASSAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-22",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.