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

Omer Moalim

Individual provider Behavior Technician · NPI 1053152850

Omer Moalim is a Behavior Technician in Eagan, Minnesota. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

4310 N Woodgate Ln
Eagan, MN 55122-2277
Phone: (651) 402-8028
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 number1053152850
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 5, 2024
Last updated in NPPESJune 5, 2024
Certification dateJune 5, 2024
Mailing address4310 N Woodgate Ln, Eagan, MN 55122-2277

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