Mohamed Isse
Individual provider Active NPI Behavior Technician · St.Paul, MN
NPI 1598520728 · NPPES record last updated Feb 16, 2024
Key facts
- NPI
- 1598520728
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 2361 Highway 36 W
Ste 200
St.Paul, MN 55113 - Phone
- (952) 994-0909
- NPI assigned
- Feb 16, 2024
- Sex
- Male
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
2361 Highway 36 W
Ste 200
St.Paul, MN 55113
Mailing address
2361 Highway 36 W
Ste 200
St.Paul, MN 55113
Other providers in St.Paul, MN
- Sydnie Beaver
- Charissa Benjamart Cable
- Angela MG Hoglund
- Shehbana Mahmood
- Patricia Anne Polland
- Nancy Jean Sticha
- Chau C Vue
All providers in St.Paul, 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 Feb 16, 2024. 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.