KHADAR JAMA (NPI# 1649830712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649830712 |
| Entity Type | Individual |
| Full Name | KHADAR JAMA |
| Practice Address |
3355 Hiawatha Ave Ste 100 Minneapolis MN 55406-2441 |
| Practice Telephone | 6128862624 |
| Practice Fax Number | 6128862618 |
| Mailing Telephone | 6128862624 |
| Mailing Fax Number | 6128862618 |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2019-06-19 |
| 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 |
3355 HIAWATHA AVE STE 100 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55406-2441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922482702 | Aaa Homecare Agency LLC | Home Health | 3355 Hiawatha Ave Ste 100, Minneapolis, MN 55406-2441 | 2015-07-12 |
| 1073144770 | Abdirahman Mohamed Abdulle | Behavior Technician | 3355 Hiawatha Ave Ste 100, Minneapolis, MN 55406-2441 | 2020-01-31 |
| 1548816754 | Mohamed Abdi Hassan | Behavior Technician | 3355 Hiawatha Ave Ste 100, Minneapolis, MN 55406-2441 | 2019-08-13 |
| 1376196576 | Asha A Ahmed | Behavior Technician | 3355 Hiawatha Ave Ste 100, Minneapolis, MN 55406-2441 | 2019-07-17 |
| 1265090484 | Hamdi Nur | Behavior Technician | 3355 Hiawatha Ave Ste 100, Minneapolis, MN 55406-2441 | 2019-06-03 |
| 1508424748 | Estar Hussein | Behavior Technician | 3355 Hiawatha Ave Ste 100, Minneapolis, MN 55406-2441 | 2019-06-03 |
| 1932767167 | Farah Olad | Behavior Technician | 3355 Hiawatha Ave Ste 100, Minneapolis, MN 55406-2441 | 2019-06-03 |
| 1861050940 | Farhiyo Salad | Behavior Technician | 3355 Hiawatha Ave Ste 100, Minneapolis, MN 55406-2441 | 2019-06-03 |
| 1285196659 | Shamso Omar | Behavior Technician | 3355 Hiawatha Ave Ste 100, Minneapolis, MN 55406-2441 | 2019-04-03 |
| 1013479583 | Miski Mohamed Abdullahi | Behavior Technician | 3355 Hiawatha Ave Ste 100, Minneapolis, MN 55406-2441 | 2019-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286221 | Hoa Bui | Pharmacist | 4547 Hiawatha, Minneapolis, MN 55406 | 2020-08-17 |
| 1184263253 | Carrie Shannon Nightshade | Acupuncturist | 3706 E 42nd Street, Minneapolis, MN 55406 | 2020-01-06 |
| 1164060059 | Deborah Owen | Acupuncturist | 3706 E 42nd St, Minneapolis, MN 55406 | 2019-12-11 |
| 1194290593 | Noelle Therese Wolf | Counselor | 2637 27th Ave S # 229, Minneapolis, MN 55406 | 2018-10-11 |
| 1255819819 | Ayan Osman Ali | Behavior Technician | 3355 Haiwatha Ave Suite 100, Minneapolis, MN 55406 | 2018-08-04 |
| 1881188597 | Lydia Joy Allison | Massage Therapist | 2933 29th Ave. S., Minneapolis, MN 55406 | 2018-06-15 |
| 1497261770 | Carroll Lee Beaty | Massage Therapist | 2801 42nd Ave. So., Minneapolis, MN 55406 | 2017-12-21 |
| 1578082798 | Capitol Cafe LLC | Home Delivered Meals | 2417 E Franklin Ave, Capitol Cafe, Minneapolis, MN 55406 | 2017-09-19 |
| 1851823942 | Safia Abdulkadir Mohamud | Contractor | 2740 Minnehaha Ave Suit 100, Minneapolis, MN 55406 | 2017-03-29 |
| 1881051944 | Sos Transportation LLC | Non-emergency Medical Transport (VAN) | 3355 Haiwatha Ave Suit 100, Minneapolis, MN 55406 | 2016-01-20 |
| Find all providers in zip 55406 | ||||
| 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 |
|---|---|---|---|---|
| 1073114393 | Fathi Shakul | Behavior Technician | 5118 Irving Ave N, Minneapolis, MN 55430-3440 | 2020-11-03 |
| 1043810344 | Sucdi Ahmed Dahir | Behavior Technician | 3951 Dupont Ave N, Minneapolis, MN 55412-2036 | 2020-10-27 |
| 1962002352 | Jama Abdi | Behavior Technician | 4630 Central Ave Ne Apt 102, Minneapolis, MN 55421-2483 | 2020-10-27 |
| 1427656362 | Warda Odhowa | Behavior Technician | 2552 5th St Ne, Minneapolis, MN 55418-2837 | 2020-10-13 |
| 1144833187 | Autumn Borgen | Behavior Technician | 7760 France Ave S Fl 11, Minneapolis, MN 55435-5930 | 2020-08-28 |
| 1376151977 | Kwst Targeted Behavioral Development Group | Behavior Technician | 333 Washington Ave N Ste 332, Minneapolis, MN 55401-1366 | 2020-07-20 |
| 1093330227 | Kristie Young Vang | Behavior Technician | 5144 Emerson Ave N, Minneapolis, MN 55430-3415 | 2020-06-12 |
| 1417582644 | Najma Ibrahim | Behavior Technician | 2614 Nicollet Ave # 209, Minneapolis, MN 55408-1628 | 2020-03-09 |
| 1548890379 | Ayodele Regina Douglas | Behavior Technician | 2800 Freeway Blvd Ste 204, Minneapolis, MN 55430-1751 | 2020-01-21 |
| 1568009694 | Asha Farhan Hassan | Behavior Technician | 2614 Nicollet Ave Ste 209, Minneapolis, MN 55408-1628 | 2019-12-09 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55406 |
Please comment or provide details below to improve the information on KHADAR JAMA.
| 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.