Samiro Aden Khalif

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

N000-164-353-200 Issued in MN

Practice address

6385 Old Shady Oak Rd Ste 250
Eden Prairie, MN 55344-7705

Phone

(612) 582-2854

NPI assigned

Jul 31, 2026

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

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

{
    "created_epoch": "1785456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1699698241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 4TH AVE S",
            "city": "SOUTH SAINT PAUL",
            "state": "MN",
            "postal_code": "550752329",
            "telephone_number": "612-582-2854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6385 OLD SHADY OAK RD STE 250",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447705",
            "telephone_number": "612-582-2854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALIF",
        "first_name": "SAMIRO",
        "middle_name": "ADEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-31",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MN",
            "license": "N000-164-353-200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Paige Kerr
• Jason Lloyd Keszler, D.O.
• Khair Recovery Center Inc.
• Fatuma Hassan Khalif
• Khalid Khalif
• Mariam Khalil, PHARMACIST
• Faraz Khan, M.D.
• Leah D Khan, M.D.
• Mona Khan, PHARM D
• Tasneem N. Khimji, MD

• Behavior Technician in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Behavior Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; 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.