Hodan Ahmed Jama

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

3055 Old Highway 8 Ste 101F
St Anthony, MN 55418-2500

Phone

(612) 259-7615

Fax

(612) 259-7889

NPI assigned

Nov 4, 2020

Reactivated

Sep 14, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Hodan Ahmed Jama Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Senzilla Health Services, LLC

  • Developmental Disabilities Clinic/Center
  • St. Anthony, MN
  • NPI 1255825345
  NPD

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1972104131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 OLD HIGHWAY 8 STE 101F",
            "city": "ST ANTHONY",
            "state": "MN",
            "postal_code": "554182500",
            "telephone_number": "612-259-7615",
            "fax_number": "612-259-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 OLD HIGHWAY 8 STE 101F",
            "city": "ST ANTHONY",
            "state": "MN",
            "postal_code": "554182500",
            "telephone_number": "612-259-7615",
            "fax_number": "612-259-7889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMA",
        "first_name": "HODAN",
        "middle_name": "AHMED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-04",
        "last_updated": "2023-09-14",
        "certification_date": "2020-11-16",
        "deactivation_date": "2020-11-16",
        "reactivation_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HODAN",
            "last_name": "JAMA",
            "middle_name": "AHMED",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Kirby Charles Johnson, DDS
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• Behavior Analyst in St Anthony, MN
• Providers in St Anthony, MN by specialty
• Behavior Analyst in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.