Nawal Jama

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

5275 Edina Industrial Blvd Ste 230
Edina, MN 55439-2912

Phone

(952) 232-6900

Fax

(952) 960-0137

NPI assigned

Oct 17, 2020

Sex

Female

Sole proprietor

No

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.

• Bright Horizon Therapy Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Edina, MN
  • NPI 1598313710
  NPD (past)

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

{
    "created_epoch": "1602892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602892800000",
    "number": "1669071015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5275 EDINA INDUSTRIAL BLVD STE 230",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392912",
            "telephone_number": "952-232-6900",
            "fax_number": "952-960-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5275 EDINA INDUSTRIAL BLVD STE 230",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392912",
            "telephone_number": "952-232-6900",
            "fax_number": "952-960-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMA",
        "first_name": "NAWAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-17",
        "last_updated": "2020-10-17",
        "certification_date": "2020-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abduahman W Jama, MANAGER
• Ahmed Mohamed Jama Sr.
• Aisha-Fathi Jama
• Amal Ali Jama
• Faduma Mukhtar Jama
• Sahuur Jama
• James S. Guerrero PLLC
• Jedidiah Bolton James, LPCC
• Jan Search MSW Licsw
• Janet Anderson Counseling

• Behavior Technician in Edina, MN
• Providers in Edina, MN by specialty
• Behavior Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2020; 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.