FARDOWSA MOHAMUD ISMAIL
NPI 1699393371
Behavior Analyst in Eagan, MN

Active since July 09, 2020
3035 EAGANDALE PL # 2103055, EAGAN, MN 55121(612) 259-7715(612) 259-7889 Get Directions Write a Review

NPPES record last updated: July 9, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Behavior Analyst

About FARDOWSA ISMAIL

This page provides the complete NPI Profile along with additional information for Fardowsa Ismail, a provider established in Eagan, Minnesota with a medical specialization in Behavior Analyst. The healthcare provider is registered in the NPI registry with number 1699393371 assigned on July 2020. The practitioner's primary taxonomy code is 103K00000X. The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1699393371 Verify this NPI
Provider Name
FARDOWSA MOHAMUD ISMAIL
Gender
Female
Entity Type
Individual
Location Address
3035 EAGANDALE PL # 2103055 EAGAN, MN 55121
Location Phone
(612) 259-7715
Location Fax
(612) 259-7889
Mailing Address
3035 EAGANDALE PL # 2103055 EAGAN, MN 55121
Is Sole Proprietor?
No
Enumeration Date
07-09-2020
Last Update Date
07-09-2020
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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 Analyst

Taxonomy Code
103K00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
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.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699393371, enumerated as an "individual" on July 09, 2020.

The provider is located at 3035 EAGANDALE PL # 2103055 EAGAN, MN 55121 and the phone number is (612) 259-7715.

Behavior Analyst with taxonomy code 103K00000X.