Nassif Baheza

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

6113 Rome Cir NW
Rochester, MN 55901-4846

Phone

(425) 524-7072

NPI assigned

Dec 10, 2024

Sex

Male

Sole proprietor

No

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.

• Benevolence LLC

  • Early Intervention Provider Agency
  • Rochester, MN
  • NPI 1184367146
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

{
    "created_epoch": "1733788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1376359646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6113 ROME CIR NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559014846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6113 ROME CIR NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559014846",
            "telephone_number": "425-524-7072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHEZA",
        "first_name": "NASSIF",
        "sole_proprietor": "NO",
        "sex": "M",
        "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": []
}

• Kelly Michelle Bagameri, AGACNP-BC
• Aissatou Bah
• Alpha Boubacar Bah, MD
• Eugene Suiven Bah, MD, PH.D
• Heeva Baharlou, M.D., PH.D.
• Christina M Bahls, RN
• Nicholas Bahls, DDS
• Shianne Bahm
• Rebecca S Bahn, M.D.
• Adam Temple Bahr

• All providers in Rochester, MN
• Behavior Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.