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

Shamso Iman

Individual provider Behavior Technician · NPI 1386412229

Shamso Iman is a Behavior Technician in Sartell, Minnesota. Licensed in Minnesota. Registered with an NPI since 2023.

Licensed in
MN
In the registry since
2023
Specialties on file
2

Practice location Address checks out

1908 Kruchten Ct S
Sartell, MN 56377-4645
Phone: (320) 640-7660
Fax: (320) 774-1104
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 305859 (MN)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1386412229
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 19, 2023
Last updated in NPPESMay 4, 2024
Certification dateMay 4, 2024
Mailing address720 8th Ave N, Saint Cloud, MN 56303-3420

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