Empowering Behavioral Solutions LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

EMPOWERING BEHAVIORAL SOLUTIONS LLC

Practice address

360 Sherman St Ste 200
Saint Paul, MN 55102-2567

Phone

(612) 532-7542

NPI assigned

Oct 16, 2024

Organization subpart

No

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

Authorized official

Name

Hibaakh Hassan Ali

Title

Owner

Phone

(612) 532-7542

Specialties & licenses 3

Addresses

Other names 2

• Fort Road Doing business as
• SOS/Fort Road Doing business as

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1912727645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 SHERMAN ST STE 200",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022567",
            "telephone_number": "612-532-7542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 SHERMAN ST STE 200",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022567",
            "telephone_number": "612-532-7542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERING BEHAVIORAL SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "HIBAAKH",
        "authorized_official_middle_name": "HASSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-532-7542"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fort Road",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SOS/Fort Road",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Behavior Analyst in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Behavior Analyst in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.