Nimo Omar
Behavior Technician in Maple Grove, MN. Individual provider (NPI-1).
NPI number1093661985
StatusActive
Last updated in NPPESAug 24, 2026
Details
- NPI
- 1093661985
- Entity type
- Individual (NPI-1)
- Name
- Nimo Omar
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 5, 2026
- Certification date
- Aug 24, 2026
- Last updated
- Aug 24, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | MN | Yes |
Practice location
8980 Zachary Ln NMaple Grove, MN 55369-4018
Phone 763-231-2000
Mailing address
8980 Zachary Ln NMaple Grove, MN 55369-4018
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