SAMSAM BASHIR ISMAIL
NPI 1477446037
Behavior Technician in Fridley, MN

NPI Status: Active since June 02, 2025

Contact Information

7205 UNIVERSITY AVE NE
FRIDLEY, MN
ZIP 55432
Phone: (612) 298-7636
Fax: (612) 354-3801

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  • Individual
  • Female
  • Behavior Technician

About SAMSAM ISMAIL

This page provides the complete NPI Profile along with additional information for Samsam Ismail, a provider established in Fridley, Minnesota with a medical specialization in Behavior Technician. The healthcare provider is registered in the NPI registry with number 1477446037 assigned on June 2025. The practitioner's primary taxonomy code is 106S00000X. The provider is registered as an individual and her NPI record was last updated June 2025.

NPI
1477446037
Provider Name
SAMSAM BASHIR ISMAIL
Gender
Female
Entity Type
Individual
Location Address
7205 UNIVERSITY AVE NE FRIDLEY, MN 55432
Location Phone
(612) 298-7636
Location Fax
(612) 354-3801
Mailing Address
1901 W 80 1/2 ST UNIT 416 BLOOMINGTON, MN 55431
Mailing Phone
(614) 815-2140
Mailing Fax
(612) 354-3801
Is Sole Proprietor?
No
Enumeration Date
06-02-2025
Last Update Date
06-02-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Behavior Technician

Taxonomy Code
106S00000X
Type
Behavioral Health & Social Service Providers
License State
MN
Taxonomy Description
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.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1477446037
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24147841206
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 4 + 7 + 8 + 4 + 1 + 2 + 0 + 6 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1477446037 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

ROGER H WEENIG M.D.

Dermatology

7205 UNIVERSITY AVE NE
FRIDLEY, MN
ZIP 55432

(763) 571-4000

JANE H LISKO M.D.

Specialist

7205 UNIVERSITY AVE NE
FRIDLEY, MN
ZIP 55432

(763) 571-4000

SOHEIL Y. PAKZAD M.D.

Specialist

7205 UNIVERSITY AVE NE
FRIDLEY, MN
ZIP 55432

(763) 571-4000

SUSAN M HUMPHREYS M.S.

Specialist

7205 UNIVERSITY AVE NE
FRIDLEY, MN
ZIP 55432

(763) 571-4000

ANN F.H. MCGINN M.D.

Specialist

7205 UNIVERSITY AVE NE
FRIDLEY, MN
ZIP 55432

(763) 571-4000

JEFFREY A SQUIRES M.D.

Specialist

7205 UNIVERSITY AVE NE
FRIDLEY, MN
ZIP 55432

(763) 571-4000

STEVEN E KEMPERS M.D.

Specialist

7205 UNIVERSITY AVE NE
FRIDLEY, MN
ZIP 55432

(763) 571-4000

JANE S LINDHOLM M.D.

Specialist

7205 UNIVERSITY AVE NE
FRIDLEY, MN
ZIP 55432

(763) 571-4000

JACK C. SCOTT M.D.

Specialist

7205 UNIVERSITY AVE NE
FRIDLEY, MN
ZIP 55432

(763) 571-4000

JEFFREY M FREED M.D.

Specialist

7205 UNIVERSITY AVE NE
FRIDLEY, MN
ZIP 55432

(763) 571-4000

STEVEN E PRAWER M.D.

Specialist

7205 UNIVERSITY AVE NE
FRIDLEY, MN
ZIP 55432

(763) 571-4000

DR. SCOTT PAUL PRAWER MD

Dermatology

7205 UNIVERSITY AVE NE
FRIDLEY, MN
ZIP 55432

(763) 571-4000

ELLEN B. REST M.D.

Specialist

7205 UNIVERSITY AVE NE
FRIDLEY, MN
ZIP 55432

(763) 571-4000

ASSOCIATED SKIN CARE SPECIALISTS

Dermatology

7205 UNIVERSITY AVE NE
FRIDLEY, MN
ZIP 55432

(763) 571-4000

BAILEY C LEE M.D.

Dermatology

7205 UNIVERSITY AVE NE
FRIDLEY, MN
ZIP 55432

(763) 571-4000

AMOUD CENTER INC

Early Intervention Provider Agency

7205 UNIVERSITY AVE NE
FRIDLEY, MN
ZIP 55432

(612) 298-7636

AHMED SIDOW MOHAMMED

Behavior Technician

7205 UNIVERSITY AVE NE
FRIDLEY, MN
ZIP 55432

(612) 298-7636

AESHA DAHIR ADEN

Behavior Technician

7205 UNIVERSITY AVE NE
FRIDLEY, MN
ZIP 55432

(612) 298-7636

LAMEE IBRAHIM IBRAHIM-WADAY

Behavior Technician

7205 UNIVERSITY AVE NE
FRIDLEY, MN
ZIP 55432

(612) 208-0729

NAWAL JAMA MOHAMUD

Behavior Technician

7205 UNIVERSITY AVE NE
FRIDLEY, MN
ZIP 55432

(612) 298-7636

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477446037, enumerated as an "individual" on June 02, 2025.

The provider is located at 7205 UNIVERSITY AVE NE FRIDLEY, MN 55432 and the phone number is (612) 298-7636.

Behavior Technician with taxonomy code 106S00000X.