MERON BERHANE (NPI# 1245837905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245837905 |
| Entity Type | Individual |
| Full Name | MERON BERHANE |
| Practice Address |
6300 W Old Shakopee Rd Ste 102 Bloomington MN 55438-2684 |
| Practice Telephone | 9208579041 |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2020-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers |
| Street Address |
6300 W OLD SHAKOPEE RD STE 102 |
| City | BLOOMINGTON |
| State | MN |
| Zip Code | 55438-2684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154665735 | Tamer Ismail Fawzy | Counselor | 6300 W Old Shakopee Rd Ste 102, Bloomington, MN 55438-2684 | 2012-11-20 |
| 1588203459 | Hopebridge LLC | Behavioral Analyst | 6300 W Old Shakopee Rd Ste 102, Bloomington, MN 55438-2684 | 2019-12-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912425570 | Angela Marie Gilbert | Registered Nurse | 10700 Brunswick Rd Unit 316, Bloomington, MN 55438 | 2017-09-05 |
| 1609905686 | Marypat Habermas | Pharmacist | 7349 Bush Lake Dr, Bloomington, MN 55438 | 2007-03-05 |
| 1629564620 | Andrea Jean Hegland | Pharmacist | One Veterans Drive, Pharmacy Service (119), Minneapolis, MN 55438 | 2018-07-03 |
| 1861050197 | Dustin James Javers | Physical Therapist | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2019-06-01 |
| 1285156240 | Dawn Marie Johnson | Occupational Therapy Assistant | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2017-07-12 |
| 1154777654 | Jennifer Bean | Occupational Therapy Assistant | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2016-05-13 |
| 1831588250 | Sia Bacas Langum | Occupational Therapist | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2015-01-22 |
| 1073948576 | Kathleen Ann Linnan Rudgers | Physical Therapy Assistant | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2013-09-04 |
| 1508201211 | Barbara Ann Spleiss | Occupational Therapy Assistant | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2013-05-08 |
| 1194160895 | Patty Norby | Physical Therapist | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2013-05-08 |
| Find all providers in zip 55438 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| 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 |
|---|---|---|---|---|
| 1962039529 | Luz Elena Lopez | Assistant Behavior Analyst | 10838 Geronimo Ave, Bloomington, CA 92316-2854 | 2020-03-24 |
| 1851826911 | Jacqueline Braun | Assistant Behavior Analyst | 9001 E Bloomington Fwy Ste 143, Bloomington, MN 55420-3444 | 2017-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385268 | Nicole Hill | Assistant Behavior Analyst | 831 Macbeth Cir, Lakeville, MN 55044-9583 | 2020-10-26 |
| 1417597345 | Linnea Brunette | Assistant Behavior Analyst | 731 Bielenberg Dr Ste 102-104, Woodbury, MN 55125-1700 | 2020-01-08 |
| 1487148235 | Behavior Care Specialists, Inc | Assistant Behavior Analyst | 3721 23rd St S, Saint Cloud, MN 56301-6198 | 2018-06-15 |
| 1669073110 | Emma Kershaw | Assistant Behavior Analyst | 3333 University Ave Se, Minneapolis, MN 55414-3325 | 2020-11-02 |
| 1194325381 | Scharmarke Abdullahi Yasin | Assistant Behavior Analyst | 1821 University Ave W Ste 219, Saint Paul, MN 55104-2892 | 2020-10-28 |
| 1275147183 | Kylie Hunter Hardman | Assistant Behavior Analyst | 434 Hayward Ave N, Oakdale, MN 55128-5379 | 2020-09-08 |
| 1295364644 | Aniso Abdulle | Assistant Behavior Analyst | 2614 Nicollet Ave, Minneapolis, MN 55408-1628 | 2020-04-07 |
| 1760029573 | Sherri A Kelly | Assistant Behavior Analyst | 2344 Helen St N, North St Paul, MN 55109-2942 | 2019-12-01 |
| 1780233536 | Kaley Rae Anderson | Assistant Behavior Analyst | 220 E Main St Ste 1, Mankato, MN 56001-3574 | 2019-09-04 |
| 1275098469 | Ana Gabriel Trevino | Assistant Behavior Analyst | 103 N Broad St, Mankato, MN 56001-3519 | 2019-02-01 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGTON |
| Zip Code | 55438 |
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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.