FARDOWSA MOHAMUD ISMAIL (NPI# 1699393371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699393371 |
| Entity Type | Individual |
| Full Name | FARDOWSA MOHAMUD ISMAIL |
| Practice Address |
3035 Eagandale Pl # 2103055 Eagan MN 55121-1261 |
| Practice Telephone | 6122597715 |
| Practice Fax Number | 6122597889 |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2020-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
3035 EAGANDALE PL # 2103055 |
| City | EAGAN |
| State | MN |
| Zip Code | 55121-1261 |
| 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 | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| 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. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932734811 | Minnesota Behavioral Specialists | Behavioral Analyst | 4635 Nicols Rd # 104, Eagan, MN 55122-3337 | 2020-03-11 |
| 1699063727 | Marietta Nel Janecky | Behavioral Analyst | 3116 Alden Pond Ln, Eagan, MN 55121-1895 | 2011-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558933 | Ahmed Osman Abdi | Behavioral Analyst | 1113 E Franklin Ave Ste 111, Minneapolis, MN 55404-2978 | 2020-11-02 |
| 1427658749 | Teresa L Brenke | Behavioral Analyst | 436 5th Ave E, Shakopee, MN 55379-1534 | 2020-10-27 |
| 1548877053 | Nicholas David Restifo | Behavioral Analyst | 3090 Maple Dr, Prior Lake, MN 55372-2841 | 2020-09-29 |
| 1275144388 | Marissa Laurel Stordahl | Behavioral Analyst | 5654 Garden Hills Ln, Saint Cloud, MN 56301-3412 | 2020-08-12 |
| 1225646177 | Integrity Living Options, Inc. | Behavioral Analyst | 1121 Jackson St Ne Ste 113, Minneapolis, MN 55413-1637 | 2020-07-16 |
| 1700401379 | Mckenzie Thorson | Behavioral Analyst | 7500 Highway 7 Apt 462, St Louis Park, MN 55426-4153 | 2020-06-10 |
| 1659994051 | Sufi Amin Mohamed | Behavioral Analyst | 3055 Old Highway 8 Ste 101f3055, Saint Anthony, MN 55418-2500 | 2020-05-20 |
| 1417579178 | Kate Anne Schroeder | Behavioral Analyst | 901 Twelve Oaks Center Drive Suite 934, Wayzata, MN 55391 | 2020-05-15 |
| 1548880628 | Ali Mudey Omar | Behavioral Analyst | 3055 Old Highway 8 Ste 101, St Anthony, MN 55418-2495 | 2020-04-20 |
| 1396364089 | Jennifer Ann Olson | Behavioral Analyst | Autism Matters 14387 Edgewood Drive, Baxter, MN 56425 | 2020-04-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on FARDOWSA MOHAMUD ISMAIL.
| 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.