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Sagal Dirie Hersi

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

NPI number1629907142
StatusActive
Last updated in NPPESMay 19, 2026

Details

NPI
1629907142
Entity type
Individual (NPI-1)
Name
Sagal Dirie Hersi
Sex
Female
Sole proprietor
No
Enumeration date
May 19, 2026
Certification date
May 19, 2026
Last updated
May 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

1525 24th Ave N Apt 6
Saint Cloud, MN 56303-1312

Phone 320-310-9385

Mailing address

1525 24th Ave N Apt 6
Saint Cloud, MN 56303-1312

Phone 320-310-9385

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.

Other Behavior Technician providers in Saint Cloud, MN

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