Fardowsa Faisal Nur

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

1526 E 122ND St
Burnsville, MN 55337-6804

Phone

(952) 426-0171

NPI assigned

Nov 30, 2022

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• South Star ABA LLC

  • Early Intervention Provider Agency
  • Burnsville, MN
  • NPI 1588256713
  NPD

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

{
    "created_epoch": "1669766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1427768589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 E 122ND ST",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376804",
            "telephone_number": "952-426-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 E 122ND ST",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376804",
            "telephone_number": "952-426-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUR",
        "first_name": "FARDOWSA",
        "middle_name": "FAISAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-30",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nova Therapy Solution LLC
• Novacare LLC
• Michael Edward Novak, D.C.
• Ikran Abdihakim Numan
• Ayan Mohamed Nur
• Hamza Nur
• Hayat Nur
• Natli Nur
• Rahma Nur
• Tariq Mohamud Nur

• Behavior Analyst in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Behavior Analyst in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.