Noor Abdirahim Bosir

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

4236 Park Geln Rd
St. Louis Park, MN 55416

Phone

(952) 888-7055

Fax

(612) 605-3312

NPI assigned

Apr 17, 2023

Sex

Male

Sole proprietor

Yes

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

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.

• Sulyn Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Richfield, MN
  • NPI 1821989039
  NPD Authorized official
• Iska Inc

  • Developmentally Disabled Services Day Training Agency
  • St Louis, MN
  • NPI 1053772939
  NPD (past)

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

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1609562198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6630 RICHFIELD PKWY",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554237502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4236 PARK GELN RD",
            "city": "ST. LOUIS PARK",
            "state": "MN",
            "postal_code": "55416",
            "telephone_number": "952-888-7055",
            "fax_number": "612-605-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSIR",
        "first_name": "NOOR",
        "middle_name": "ABDIRAHIM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-17",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Kimberly Borchert, MA, CCC-SLP
• Bernard Borkon, D.D.S.
• Patrick Eugene Borowicz, RN
• Steven J Borowsky, M.D.
• Kristine Borys, RD
• Robert Stephen Boswell, LICSW
• Emily Botten, OTD
• Anthony G Bottini, MD
• Alison Rebecca Ann Bottke, DPT
• Jacques Boucal, NURSE PRACTITIONER

• Behavior Analyst in St. Louis Park, MN
• Providers in St. Louis Park, MN by specialty
• Behavior Analyst in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.