FADUMO MAHAMED
NPI 1700597713
Behavior Technician in Saint Louis Park, MN

Active since December 09, 2022
4236 PARK GLEN RD, SAINT LOUIS PARK, MN 55416(952) 888-7055(612) 605-3312 Get Directions Write a Review

NPPES record last updated: December 9, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Fadumo Mahamed NPPES

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

FADUMO MAHAMED (NPI 1700597713) is an individual behavior technician in Saint Louis Park, Minnesota and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1700597713
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameFADUMO MAHAMED
Location Address4236 PARK GLEN RDSaint Louis Park, MN 55416-4758
Mailing Address4236 Park Glen RdSaint Louis Park, MN 55416-4758
Fax(612) 605-3312
Sole ProprietorNo
Enumeration DateDecember 9, 2022
NPPES CertifiedDecember 9, 2022
NPI 1700597713 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.

4236 PARK GLEN RD, Saint Louis Park, MN 55416

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.

Counselor (Mental Health)
4236 PARK GLEN RD
ST. LOUIS PARK, MN 55416
Counselor (Mental Health)
4236 PARK GLEN RD
ST LOUIS PARK, MN 55416
Speech-Language Pathologist
4236 PARK GLEN RD
ST LOUIS PARK, MN 55416
Occupational Therapist (Mental Health)
4236 PARK GLEN RD
ST LOUIS PARK, MN 55416
Behavior Analyst
4236 PARK GLEN RD
ST LOUIS PARK, MN 55416
Psychologist
4236 PARK GLEN RD
ST LOUIS PARK, MN 55416
Behavior Technician
4236 PARK GLEN RD
ST LOUIS PARK, MN 55416
Behavior Analyst
4236 PARK GLEN RD
ST LOUIS PARK, MN 55416

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700597713, enumerated as an "individual" on December 09, 2022.

The provider is located at 4236 PARK GLEN RD SAINT LOUIS PARK, MN 55416 and the phone number is (952) 888-7055.

Behavior Technician with taxonomy code 106S00000X.