Individual provider · Type 1 NPI

Jamal Kwaku Bodom

Behavior Technician · Mendota Heights, MN

NPI number 1376408369 Active

Practice location

1345 Mendota Heights Rd Ste 400
Mendota Heights, MN 55120-2008

Call (651) 431-6628 Map

Fax (919) 561-6612

Mailing address

382 NE 191st St Ste 98090
Miami, FL 33179-3899

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XNone listed

Behavior Technician: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That…

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About NPI 1376408369

Jamal Kwaku Bodom's National Provider Identifier is 1376408369, issued on Dec 22, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Mendota Heights, MN. The record was last updated on Dec 22, 2025.