Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bouba Diallo

Individual provider Behavior Technician · NPI 1912876582

Bouba Diallo is a Behavior Technician in Anoka, Minnesota. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

3401 Round Lake Blvd NW
Anoka, MN 55303-3315
Phone: (952) 247-3381
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1912876582
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 3, 2025
Last updated in NPPESNovember 3, 2025
Certification dateNovember 3, 2025
Mailing address3401 Round Lake Blvd Nw, Anoka, MN 55303-3315

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