Isra Kayse Ibrahim

Behavior Technician · Crystal, MN

Individual Active NPI

NPI number 1366264848

Practice location

5701 Kentucky Ave N Ste 209
Crystal, MN 55428-3386
Phone
(612) 386-7144

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NPI record

NPI
1366264848
Entity type
Individual (Type 1)
Enumeration date
October 28, 2024
Last updated
October 28, 2024
Certified
October 28, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

Mailing address

1821 University Ave W Ste 223
Saint Paul, MN 55104-2801

About Isra Ibrahim

Isra Kayse Ibrahim is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 5701 Kentucky Ave N Ste 209, Crystal, MN 55428-3386. The NPI number 1366264848 was assigned on October 28, 2024 and the record was last updated on October 28, 2024.

Frequently asked questions

What is the NPI number of Isra Kayse Ibrahim?

The NPI number is 1366264848.

What is the phone number of Isra Ibrahim?

The phone number listed for the practice location is (612) 386-7144.

Where is Isra Ibrahim located?

5701 Kentucky Ave N Ste 209, Crystal, MN 55428-3386.

What is the taxonomy code for Isra Ibrahim?

The primary taxonomy code is 106S00000X – Behavior Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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