Healthcare Provider Details

I. General information

NPI: 1588521439
Provider Name (Legal Business Name): RAHMA SULEIMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2026
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4635 NICOLS RD # 104
EAGAN MN
55122-3337
US

IV. Provider business mailing address

4635 NICOLS RD # 104
EAGAN MN
55122-3337
US

V. Phone/Fax

Practice location:
  • Phone: 651-900-2210
  • Fax: 651-900-2210
Mailing address:
  • Phone: 651-900-2210
  • Fax: 651-900-2210

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: