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

Mr. Van Dyke Kofi Noah

Individual provider Behavior Technician · NPI 1619410412

Mr. Van Dyke Kofi Noah is a Behavior Technician in Eagan, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

4836 Safari Pass
Eagan, MN 55122-2663
Phone: (952) 846-8047
Fax: (651) 452-2698
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 1083493-1-HCBS (MN)
Respite Care Taxonomy 385H00000X · Licence 1083493-1-HCBS

Record details

NPI number1619410412
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 28, 2016
Last updated in NPPESNovember 28, 2016

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