Active NPI
Amina Ahmed
- Behavior Technician
- Burnsville, MN
National Provider Identifier
1710650080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1501 Southcross Dr W
Burnsville, MN 55306-6938 - Phone
- (952) 456-1474
- Fax
- (952) 351-9258
- NPI assigned
- Jul 31, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
1501 Southcross Dr W
Burnsville, MN 55306-6938
Mailing address
1501 Southcross Dr W
Burnsville, MN 55306-6938
Phone (952) 456-1474
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bloomwell Behavioral Health Inc. | Behavior Technician | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627689600000",
"number": "1710650080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 SOUTHCROSS DR W",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553066938",
"telephone_number": "952-456-1474",
"fax_number": "952-351-9258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 SOUTHCROSS DR W",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553066938",
"telephone_number": "952-456-1474",
"fax_number": "952-351-9258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMED",
"first_name": "AMINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-31",
"last_updated": "2021-07-31",
"certification_date": "2021-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burnsville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.