Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Marvellous Jesutofunmi Lasisi

Individual provider Behavior Technician · NPI 1104739929

Marvellous Jesutofunmi Lasisi is a Behavior Technician in Mendota Heights, Minnesota. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

1345 Mendota Heights Rd Ste 400
Mendota Heights, MN 55120-2008
Phone: (651) 431-6628
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 number1104739929
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 23, 2026
Last updated in NPPESSeptember 23, 2026
Certification dateSeptember 23, 2026

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