Nimo Jama
Behavior Technician in Lakeville, MN. Individual provider (NPI-1).
NPI number1003671264
StatusActive
Last updated in NPPESFeb 16, 2024
Details
- NPI
- 1003671264
- Entity type
- Individual (NPI-1)
- Name
- Nimo Jama
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 16, 2024
- Certification date
- Feb 16, 2024
- Last updated
- Feb 16, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
5722 Upper 179th St W Uppr 179thLakeville, MN 55044-4931
Phone 612-978-0850
Mailing address
5722 Upper 179th St W Uppr 179thLakeville, MN 55044-4931
Phone 612-978-0850
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 141 Behavior Technician providers in Lakeville · All 1,079 providers in Lakeville
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