MR. GARAD HAGI MOHAMED SR. (NPI# 1619589728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619589728 |
| Entity Type | Individual |
| Full Name | MR. GARAD HAGI MOHAMED SR. |
| Practice Address |
860 Blue Gentian Rd Ste 200 Eagan MN 55121-1567 |
| Mailing Address |
3029 22nd Ave S Unit 612 Minneapolis MN 55407-5241 |
| Practice Telephone | 6124588723 |
| Mailing Telephone | 6124588723 |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2020-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
860 BLUE GENTIAN RD STE 200 |
| City | EAGAN |
| State | MN |
| Zip Code | 55121-1567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548712474 | Heritage Home Health Care LLC | In Home Supportive Care | 860 Blue Gentian Rd Ste 200, Eagan, MN 55121-1567 | 2016-10-26 |
| 1255943361 | Intergalactic Therapy Centre LLC | Early Intervention Provider Agency | 860 Blue Gentian Rd Ste 200, Eagan, MN 55121-1567 | 2020-08-19 |
| 1811520349 | Kenn Folks Personal Care Agency LLC | Home Health | 860 Blue Gentian Rd Ste 200, Eagan, MN 55121-1567 | 2020-02-12 |
| 1528698826 | Abeam Health Services | Clinic/Center | 860 Blue Gentian Rd Ste 200, Eagan, MN 55121-1567 | 2020-01-25 |
| 1659916393 | Nkoyo Nyong-bassey & Funmilayo Okoya LLC | In Home Supportive Care | 860 Blue Gentian Rd Ste 200, Eagan, MN 55121-1567 | 2019-11-15 |
| 1639640667 | Kenn Folks Home Care Services LLC | In Home Supportive Care | 860 Blue Gentian Rd Ste 200, Eagan, MN 55121-1567 | 2018-12-17 |
| 1891204384 | Nkoyo Nyong-bassey | Social Worker | 860 Blue Gentian Rd Ste 200, Eagan, MN 55121-1567 | 2017-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205443850 | Birchwood Dental, LLC | Dentist | 3356 Sherman Crt Ste 101, Eagan, MN 55121 | 2020-09-28 |
| 1811552813 | Clare Muyskens | Physical Therapist | 3305 Central Park Commons Dr, Eagan, MN 55121 | 2019-05-06 |
| 1154986479 | Elp Right Living Health LLC | Assisted Living Facility | 3035 Eagandale Pl #101, Eagan, MN 55121 | 2019-05-02 |
| 1467908699 | Hy Vee Inc | Pharmacy | 1500 Central Park Commons Drive, Eagan, MN 55121 | 2016-08-28 |
| 1962861005 | Lakeline Transportation LLC | Non-emergency Medical Transport (VAN) | 1416 Shoreline Dr, Eagan, MN 55121 | 2016-02-17 |
| 1467838615 | John Berchem | Physical Therapist | 1284 Coporate Center Drive, #500, Eagan, MN 55121 | 2015-08-10 |
| 1730426099 | Carole P Cohen | Occupational Therapist | 880 Blue Gentian Road, Ste # 190, Eagan, MN 55121 | 2013-01-07 |
| 1407102882 | Emergency Physicians Professional Association | Clinic/Center | 3010 Denmark Avenue, Eagan, MN 55121 | 2012-08-03 |
| 1851692289 | Eagan Family Chiropractic & Massage | Chiropractor | 1260 Yankee Doodle Road, Suite 100, Eagan, MN 55121 | 2010-11-17 |
| 1780805218 | Bridget Marie Mcconnell | Social Worker | 680 O'neill Drive, Eagan, MN 55121 | 2007-05-01 |
| Find all providers in zip 55121 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| 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. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649879628 | Britni Eberlin | Behavior Technician | 4635 Nicols Rd # 104, Eagan, MN 55122-3337 | 2020-10-21 |
| 1821605445 | Meghan Rose Creese | Behavior Technician | 4635 Nicols Rd # 104, Eagan, MN 55122-3337 | 2020-09-28 |
| 1669089702 | Camille Heyman | Behavior Technician | 4635 Nicols Rd, Eagan, MN 55122-3337 | 2020-09-23 |
| 1780217448 | Chayla Fenske | Behavior Technician | 2030 Rahn Way, Eagan, MN 55122-2300 | 2020-02-20 |
| 1285118281 | Erin Kleiner | Behavior Technician | 2030 Rahn Way, Eagan, MN 55122-2300 | 2018-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114393 | Fathi Shakul | Behavior Technician | 5118 Irving Ave N, Minneapolis, MN 55430-3440 | 2020-11-03 |
| 1972103224 | Bobbi Nielsen | Behavior Technician | 33854 630th Ave, Sargeant, MN 55973-8539 | 2020-10-27 |
| 1043810344 | Sucdi Ahmed Dahir | Behavior Technician | 3951 Dupont Ave N, Minneapolis, MN 55412-2036 | 2020-10-27 |
| 1922608314 | Farhiyo Sharmake | Behavior Technician | 8062 Jensen Ave S, Cottage Grove, MN 55016-3438 | 2020-10-27 |
| 1962002352 | Jama Abdi | Behavior Technician | 4630 Central Ave Ne Apt 102, Minneapolis, MN 55421-2483 | 2020-10-27 |
| 1245830702 | Rebecca Rose Thompson | Behavior Technician | 1041 9th Ave S Apt 8, South Saint Paul, MN 55075-3108 | 2020-10-26 |
| 1700484367 | Cassandra Marie Terch | Behavior Technician | 19437 Evans St Nw, Elk River, MN 55330-1074 | 2020-10-15 |
| 1629676424 | Archy Olson | Behavior Technician | 2 Shoreline Pl, Spring Park, MN 55384-9644 | 2020-10-14 |
| 1427656362 | Warda Odhowa | Behavior Technician | 2552 5th St Ne, Minneapolis, MN 55418-2837 | 2020-10-13 |
| 1679171516 | Muna Shire | Behavior Technician | 9133 Knox Ave S, Bloomington, MN 55431-2213 | 2020-10-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.