Powerful Minds LLC

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Legal business name

POWERFUL MINDS LLC

Practice address

226 1St Ave E
Shakopee, MN 55379-1441

Phone

(952) 288-8708

NPI assigned

Nov 21, 2023

Organization subpart

No

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

Authorized official

Name

Falastin Ali Omar

Title

Owner

Phone

(952) 288-8708

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1396510053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 RIVER ROCK DR N",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553174746",
            "telephone_number": "952-288-8708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 1ST AVE E",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553791441",
            "telephone_number": "952-288-8708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWERFUL MINDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-21",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "OMAR",
        "authorized_official_first_name": "FALASTIN",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-288-8708"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Technician in Shakopee, MN
• Providers in Shakopee, 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 23, 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.