DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: YISAKOR GEMEDA MEGERSA

MEDICARE: YISAKOR GEMEDA MEGERSA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1770377855
Entity Type Code : Individual
Provider Name (Legal Business Name) : YISAKOR GEMEDA MEGERSA
Provider Business Mailing Address
First Line : 7132 PORTLAND AVE
Second Line :
City : RICHFIELD
State : MN
Zip : 55423-3264
Country : US
Telephone Number : 651-217-3637
Fax Number :
Provider Business Practice Location Address
First Line : 7132 PORTLAND AVE
Second Line :
City : RICHFIELD
State : MN
Zip : 55423-3264
Country : US
Telephone Number : 651-217-3637
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2025
Last Update Date : 04/05/2025

Similar Medicare Providers

1366125486 — ABSOLUTE CARE PROVIDERS LLC
Practice Location Address:
7132 PORTLAND AVE
RICHFIELD, MN
55423-3264
Practice Phone: 651-274-7262
Practice Fax:
1770776890 — MARTIN LM LLC
Practice Location Address:
7132 PORTLAND AVE
RICHFIELD, MN
55423-3264
Practice Phone: 612-861-6160
Practice Fax:
1245067156 — EMMA LUISA LORAYNE COPPOLA
Practice Location Address:
7132 PORTLAND AVE
RICHFIELD, MN
55423-3264
Practice Phone: 651-217-3637
Practice Fax:
1013734383 — ISAAC KARL ERICKSON
Practice Location Address:
7132 PORTLAND AVE
RICHFIELD, MN
55423-3264
Practice Phone: 651-217-3637
Practice Fax:
1558184853 — MR. LEUL GEBRE HABTE
Practice Location Address:
7132 PORTLAND AVE
RICHFIELD, MN
55423-3264
Practice Phone: 651-217-3637
Practice Fax:
1891588034 — ACCOMPLISH AUTISM CENTER LLC
Practice Location Address:
7132 PORTLAND AVE
RICHFIELD, MN
55423-3264
Practice Phone: 612-261-8849
Practice Fax:

Directions to “ YISAKOR GEMEDA MEGERSA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.