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LAECRETIA ANISA MOALLIM
NPI 1053098723
Behavior Analyst in Minneapolis, MN

Active since July 03, 2023
1600 BROADWAY ST NE # 250, MINNEAPOLIS, MN 55413(952) 303-5803 Get Directions Write a Review

NPPES record last updated: July 3, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Laecretia Anisa Moallim NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAECRETIA ANISA MOALLIM (NPI 1053098723) is an individual behavior analyst provider in Minneapolis, Minnesota and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1053098723
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameLAECRETIA ANISA MOALLIM
Location Address1600 BROADWAY ST NE # 250Minneapolis, MN 55413-2617
Mailing Address1600 Broadway St Ne # 250Minneapolis, MN 55413-2617 · (952) 303-5803
Phone(952) 303-5803
Sole ProprietorNo
Enumeration DateJuly 3, 2023
NPPES CertifiedJuly 3, 2023
✔ NPI 1053098723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
1600 BROADWAY ST NE # 250, Minneapolis, MN 55413
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMAL AHMED MOHAMED
Behavior Analyst
1600 BROADWAY ST NE # 250
MINNEAPOLIS, MN 55413
Hennepin County (952) 303-5803
NASTRO OMAR AHMED
Behavior Analyst
1600 BROADWAY ST NE # 250
MINNEAPOLIS, MN 55413
Hennepin County (952) 303-5803
ALVARO RIDGE BARCIA
Behavior Analyst
1600 BROADWAY ST NE # 250
MINNEAPOLIS, MN 55413
Hennepin County (952) 303-5803
LONNIE RASAAN EAST
Behavior Analyst
1600 BROADWAY ST NE # 250
MINNEAPOLIS, MN 55413
Hennepin County (952) 303-5803
ABU KOROMA
Behavior Analyst
1600 BROADWAY ST NE # 250
MINNEAPOLIS, MN 55413
Hennepin County (952) 303-5803
SURAYA MAYE
Behavior Analyst
1600 BROADWAY ST NE # 250
MINNEAPOLIS, MN 55413
Hennepin County (952) 303-5803
SHUAIB A MOHAMED
Behavior Technician
1600 BROADWAY ST NE # 250
MINNEAPOLIS, MN 55413
Hennepin County (952) 303-5803
EBYAN N ABDULLAHI
Behavior Analyst
1600 BROADWAY ST NE # 250
MINNEAPOLIS, MN 55413
Hennepin County (952) 303-5803

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laecretia Moallim's NPI number?

The NPI number for Laecretia Moallim is 1053098723. It was assigned to this individual provider in the NPPES registry on July 3, 2023.

Where is Laecretia Moallim located?

Laecretia Moallim practices at 1600 Broadway St NE # 250, Minneapolis, MN 55413. The listed phone number is (952) 303-5803.

What is Laecretia Moallim's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Laecretia Moallim was last updated on July 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.