Ifrah A Jire
Individual provider Active NPI Behavior Technician · Coon Rapids, MN
NPI 1962279620 · NPPES record last updated Dec 4, 2023
Key facts
- NPI
- 1962279620
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 9120 Springbrook Dr NW
Coon Rapids, MN 55433-5845 - Phone
- (763) 231-2590
- NPI assigned
- Dec 4, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fraser Child and Family Center | Current |
Accepting new patients | |
| Fraser | Past |
Accepting new patients |
Locations
9120 Springbrook Dr NW
Minneapolis, MN 55433
Phone (763) 231-2590
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
9120 Springbrook Dr NW
Coon Rapids, MN 55433-5845
Mailing address
2390 Mounds View Blvd Apt 110
Saint Paul, MN 55112-0031
Other providers in Coon Rapids, MN
- Megan Jensen
- Jerrol Noller MD LTD
- Michael Jewell
- Fathiya Mohamed Jeylani
- Crystal Chun Jiang
- Rebecca Jochum
- Kyle Johannessen
- Kenneth A Johns
- Elizabeth Sunshine Johnson-Gerrits
- Alan Stuart Johnson
All providers in Coon Rapids, MN · Behavior Technician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.