Individual provider Active NPI

Laki Ibrahim Dige

  • Behavior Technician
  • Roseville, MN
National Provider Identifier
1851189799
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
2361 Highway 36 W Ste 200
Roseville, MN 55113-5599
Phone
(651) 888-6695
Fax
(952) 487-3216
NPI assigned
Apr 29, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X MN Primary

Addresses

Primary practice location

2361 Highway 36 W Ste 200
Roseville, MN 55113-5599

Mailing address

2361 Highway 36 W Ste 200
Roseville, MN 55113-5599
Phone (651) 888-6695

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

NPI Registry JSON

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

{
    "created_epoch": "1745884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1851189799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2361 HIGHWAY 36 W STE 200",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551135599",
            "telephone_number": "651-888-6695",
            "fax_number": "952-487-3216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2361 HIGHWAY 36 W STE 200",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551135599",
            "telephone_number": "651-888-6695",
            "fax_number": "952-487-3216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGE",
        "first_name": "LAKI",
        "middle_name": "IBRAHIM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-29",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.