Fatuma Hassan Farah

Individual provider Active NPI Behavior Analyst · Minneapolis, MN

NPI 1548042773 · NPPES record last updated Oct 23, 2023

Key facts

NPI
1548042773
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
4008 Minnehaha Ave
Minneapolis, MN 55406-3306
Phone
(161) 238-7696
NPI assigned
Oct 23, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis Autism Center, LLC Current
since Oct 29, 2023
Accepting new patients

Locations

4008 Minnehaha Ave
Minneapolis, MN 55406
Phone (612) 387-6968

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Yes

Addresses

Primary practice location

4008 Minnehaha Ave
Minneapolis, MN 55406-3306

Mailing address

4008 Minnehaha Ave
Minneapolis, MN 55406-3306
Phone (612) 387-6968

Other providers in Minneapolis, MN

All providers in Minneapolis, MN · Behavior Analyst in Minnesota

Sources for this page

Verify at the official NPI Registry.