Mohamed Ismail
Behavior Analyst in Burnsville, MN. Individual provider (NPI-1).
NPI number1982508115
StatusActive
Last updated in NPPESOct 2, 2026
Details
- NPI
- 1982508115
- Entity type
- Individual (NPI-1)
- Name
- Mohamed Ismail
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 2, 2026
- Certification date
- Oct 2, 2026
- Last updated
- Oct 2, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
2208 E 117th StBurnsville, MN 55337-1265
Phone 619-319-8530
Mailing address
2208 E 117th StBurnsville, MN 55337-1265
Phone 619-319-8530
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