Ismahaan Isack

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

14540 Pennock Ave Ste 102
Apple Valley, MN 55124-7443

Phone

(612) 819-5205

NPI assigned

Oct 1, 2026

Last updated

Oct 1, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1790812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1376457671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14540 PENNOCK AVE STE 102",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247443",
            "telephone_number": "612-819-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14540 PENNOCK AVE STE 102",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247443",
            "telephone_number": "612-819-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISACK",
        "first_name": "ISMAHAAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rana Kraftson Jaszczak, DPT
• Joelle Jefferson, LGSW

• Behavior Technician in Apple Valley, MN
• Providers in Apple Valley, MN by specialty
• Behavior Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.