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

Seanghay Prom

Individual provider Behavior Technician · NPI 1558955856

Seanghay Prom is a Behavior Technician in Minneapolis, Minnesota. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

2021 E Hennepin Ave
Minneapolis, MN 55413-2700
Phone: (612) 259-7711
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 number1558955856
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 26, 2021
Last updated in NPPESFebruary 26, 2021
Certification dateFebruary 26, 2021
Mailing address2021 E Hennepin Ave, Minneapolis, MN 55413-2700

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