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

Ismail Ibrahim

Individual provider Behavior Technician · NPI 1467164152

Ismail Ibrahim is a Behavior Technician in Saint Louis Park, Minnesota. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

4236 Park Glen Rd
Saint Louis Park, MN 55416-4758
Phone: (952) 888-7055
Fax: (612) 605-3312
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 number1467164152
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 14, 2022
Last updated in NPPESDecember 14, 2022
Certification dateDecember 14, 2022
Mailing address4236 Park Glen Rd, Saint Louis Park, MN 55416-4758

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