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

Jamal Kwaku Bodom

Individual provider Behavior Technician · NPI 1376408369

Jamal Kwaku Bodom is a Behavior Technician in Mendota Heights, Minnesota. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025
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Practice location Address checks out

1345 Mendota Heights Rd Ste 400
Mendota Heights, MN 55120-2008
Phone: (651) 431-6628
Fax: (919) 561-6612
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1376408369
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 22, 2025
Last updated in NPPESDecember 22, 2025
Certification dateDecember 22, 2025

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