Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. VAN DYKE KOFI NOAH
Active Sole ProprietorMR. VAN DYKE KOFI NOAH is a Behavior Technician healthcare provider located in EAGAN, Minnesota. NPI 1619410412 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · EAGAN, MN
Registration Details
- NPI Number
- 1619410412
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 28, 2016 (9.6766562738607 yrs)
- Last Updated
- Nov 28, 2016
- Licenses
-
1083493-1-HCBS (MN)1083493-1-HCBS
- Sole Proprietor
- Yes
Practice Information
- Address
-
4836 SAFARI PASSEAGAN, MN, 551222663Browse MN providers · Browse ZIP 55122
- Phone
- 9528468047
- Fax
- 6514522698
- Primary Specialty
-
Behavior Technician
106S00000X
- Additional Specialty
- Respite Care
Other Behavior Technician Providers in EAGAN, MN
| Name | Credential | NPI |
|---|---|---|
| ERIN KLEINER | — | 1285118281 |
| MORGAN JEANNE MCELLIGOTT | — | 1811459894 |
| CHAYLA FENSKE | BA | 1780217448 |
| MR. GARAD HAGI MOHAMED SR. | — | 1619589728 |
| MRS. CAMILLE HEYMAN | — | 1669089702 |
| MEGHAN ROSE CREESE | — | 1821605445 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.