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Ikran Jamal Hassan

Behavior Technician in Forest Lake, MN. Individual provider (NPI-1).

NPI number1104740463
StatusActive
Last updated in NPPESAug 7, 2026

Details

NPI
1104740463
Entity type
Individual (NPI-1)
Name
Ikran Jamal Hassan
Sex
Female
Sole proprietor
No
Enumeration date
Aug 7, 2026
Certification date
Aug 7, 2026
Last updated
Aug 7, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician–MNYes

Practice location

255 7th Ave Nw
Forest Lake, MN 55025

Phone 952-767-4200

Mailing address

5868 Baker Road
Minnetonka, MN 55345

Phone 952-767-4200

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Other Behavior Technician providers in Forest Lake, MN

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