MR. VAN DYKE KOFI NOAH
NPI 1619410412
Behavior Technician in Eagan, MN

Active since November 28, 2016
4836 SAFARI PASS, EAGAN, MN 55122(952) 846-8047(651) 452-2698 Get Directions Write a Review

NPPES record last updated: November 28, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Van Dyke Kofi Noah NPPES

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

MR. VAN DYKE KOFI NOAH (NPI 1619410412) is an individual behavior technician in Eagan, Minnesota, licensed in Minnesota (1083493-1-HCBS) and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1619410412
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameMR. VAN DYKE KOFI NOAH
Location Address4836 SAFARI PASSEagan, MN 55122-2663
Mailing Address4836 Safari PassEagan, MN 55122-2663 · (952) 846-8047
Fax(651) 452-2698
Sole ProprietorYes
Enumeration DateNovember 28, 2016
NPI 1619410412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
License Licensed in MN · 1083493-1-HCBS
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.
Also ListedRespite CareTaxonomy 385H00000X · License 1083493-1-HCBS
4836 SAFARI PASS, Eagan, MN 55122

Other Identifiers 1

Other1081688-1-AFCMN · Adult Foster Care

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 Van Dyke Noah's NPI number?

The NPI number for Van Dyke Noah is 1619410412. It was assigned to this individual provider in the NPPES registry on November 28, 2016.

Where is Van Dyke Noah located?

Van Dyke Noah practices at 4836 Safari Pass, Eagan, MN 55122. The listed phone number is (952) 846-8047.

What is Van Dyke Noah'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 Van Dyke Noah was last updated on November 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.