Wafaa Hassan Mohamed
Individual provider Active NPI Behavior Technician · Golden Valley, MN
NPI 1447046529 · NPPES record last updated Apr 16, 2025
Key facts
- NPI
- 1447046529
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-22-229328 (IN)
- Practice address
- 1405 Lilac Dr N Ste 215
Golden Valley, MN 55422-4546 - Phone
- (314) 601-5744
- NPI assigned
- Apr 16, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-22-229328 | IN | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-22-229328 | IN | Yes |
Addresses
Primary practice location
1405 Lilac Dr N Ste 215
Golden Valley, MN 55422-4546
Mailing address
1405 Lilac Dr N Ste 215
Golden Valley, MN 55422-4546
Other providers in Golden Valley, MN
- Sanjay K Mishra
- Mitchell Senior Services LLC
- Lori Ann Mitchell
- Jacqueline Ann Moeller
- Nelly Mogeni
- Anab Said Mohamud
- Layla Muse Mohamud
- Moments Palliative Care LLC
- Monica L Mommsen
- Hannah Monson
All providers in Golden Valley, MN · Behavior Technician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.