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Bilal M Hersi

Behavior Technician in Saint Cloud, MN. Individual provider (NPI-1).

NPI number1104779008
StatusActive
Last updated in NPPESFeb 19, 2026

Details

NPI
1104779008
Entity type
Individual (NPI-1)
Name
Bilal M Hersi
Sex
Male
Sole proprietor
No
Enumeration date
Feb 19, 2026
Certification date
Feb 19, 2026
Last updated
Feb 19, 2026

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 codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

1700 University Dr Se
Saint Cloud, MN 56304-2068

Phone 952-693-3138

Mailing address

1700 University Dr Se
Saint Cloud, MN 56304-2068

Phone 952-693-3138

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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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