BNW L.L.C

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

BNW L.L.C

Doing business as

Afya Therapy

Practice address

1821 University Ave W Ste 223
Saint Paul, MN 55104-2801

Phone

(203) 687-5925

NPI assigned

Jun 12, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Bekam MerdassaNPI 1255938395

Title

Founder

Phone

(203) 687-5925

Specialties & licenses 1

Addresses

Other names 1

• Afya Therapy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bekam Merdassa

  • Behavior Technician
  • Saint Paul, MN
  • NPI 1255938395
  NPD Authorized official

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591920000000",
    "number": "1720603947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 SNELLING AVE N APT 405",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551042338",
            "telephone_number": "203-687-5925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 UNIVERSITY AVE W STE 223",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551042801",
            "telephone_number": "203-687-5925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BNW L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-12",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A",
        "authorized_official_last_name": "MERDASSA",
        "authorized_official_first_name": "BEKAM",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "203-687-5925",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Afya Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Lisa Kay Boben, R.N.
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• Early Intervention Provider Agency in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Early Intervention Provider Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.