Ilhan S Ahmed

Individual provider Active NPI Behavior Technician · Shakopee, MN

NPI 1609616986 · NPPES record last updated May 25, 2024

Key facts

NPI
1609616986
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
205 Lewis St S Ste 107
Shakopee, MN 55379-1459
Phone
(763) 285-2381
NPI assigned
May 25, 2024
Sex
Female
Sole proprietor
Yes

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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

205 Lewis St S Ste 107
Shakopee, MN 55379-1459

Mailing address

205 Lewis St S Ste 107
Shakopee, MN 55379-1459
Phone (651) 308-5201

Other providers in Shakopee, MN

All providers in Shakopee, MN · Behavior Technician in Minnesota

Sources for this page

Verify at the official NPI Registry.