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

Khalid Shafie Omar

Individual provider Behavior Analyst · NPI 1306430657

Khalid Shafie Omar is a Behavior Analyst in Saint Louis Park, Minnesota. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

4236 Park Glen Rd
Saint Louis Park, MN 55416-4758
Phone: (952) 888-7055
Fax: (612) 605-3312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1306430657
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 26, 2021
Last updated in NPPESFebruary 26, 2021
Certification dateFebruary 26, 2021
Mailing address4236 Park Glen Rd, Saint Louis Park, MN 55416-4758

Other providers in Saint Louis Park