JAMAL KWAKU BODOM
NPI 1376408369
Behavior Technician in Mendota Heights, MN

Active since December 22, 2025
1345 MENDOTA HEIGHTS RD STE 400, MENDOTA HEIGHTS, MN 55120(651) 431-6628(919) 561-6612 Get Directions Write a Review

NPPES record last updated: December 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jamal Kwaku Bodom NPPES

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

JAMAL KWAKU BODOM (NPI 1376408369) is an individual behavior technician in Mendota Heights, Minnesota and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1376408369
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameJAMAL KWAKU BODOM
Location Address1345 MENDOTA HEIGHTS RD STE 400Mendota Heights, MN 55120-2008
Mailing Address382 Ne 191st St Ste 98090Miami, FL 33179-3899 · (651) 431-6628 · Fax (919) 561-6612
Fax(919) 561-6612
Sole ProprietorYes
Enumeration DateDecember 22, 2025
NPPES CertifiedDecember 22, 2025
NPI 1376408369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
1345 MENDOTA HEIGHTS RD STE 400, Mendota Heights, MN 55120

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.

Behavior Technician
1345 MENDOTA HEIGHTS RD STE 400
MENDOTA HEIGHTS, MN 55120
Behavior Technician
1345 MENDOTA HEIGHTS RD STE 400
MENDOTA HEIGHTS, MN 55120
Behavior Technician
1345 MENDOTA HEIGHTS RD STE 400
MENDOTA HEIGHTS, MN 55120
Behavior Technician
1345 MENDOTA HEIGHTS RD STE 400
MENDOTA HEIGHTS, MN 55120
Behavior Technician
1345 MENDOTA HEIGHTS RD STE 400
MENDOTA HEIGHTS, MN 55120
Behavior Technician
1345 MENDOTA HEIGHTS RD STE 400
MENDOTA HEIGHTS, MN 55120
Behavior Technician
1345 MENDOTA HEIGHTS RD STE 400
MENDOTA HEIGHTS, MN 55120
Behavior Technician
1345 MENDOTA HEIGHTS RD STE 400
MENDOTA HEIGHTS, MN 55120

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 Jamal Bodom's NPI number?

The NPI number for Jamal Bodom is 1376408369. It was assigned to this individual provider in the NPPES registry on December 22, 2025.

Where is Jamal Bodom located?

Jamal Bodom practices at 1345 Mendota Heights Rd Ste 400, Mendota Heights, MN 55120. The listed phone number is (651) 431-6628.

What is Jamal Bodom's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Jamal Bodom was last updated on December 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.