IndividualActive
Jamal Bodom
NPI 1376408369 · Behavior Technician · Mendota Heights, MN
Jamal Bodom is a Behavior Technician provider in Mendota Heights, MN (NPI 1376408369).
Provider details
- NPI number
- 1376408369
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(47/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1345 Mendota Heights Rd Ste 400
Mendota Heights, MN 55120-2008
Phone: (651) 431-6628
Fax: (919) 561-6612
Approximate (ZIP-level) locationGet directions
Mailing address
382 Ne 191st St Ste 98090
Miami, FL 33179-3899
Registry dates
- Enumerated
- 2025-12-22
- Last updated
- 2025-12-22
- Certified
- 2025-12-22
Frequently asked questions
- What is Jamal Bodom's NPI number?
- Jamal Bodom's National Provider Identifier (NPI) is 1376408369, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jamal Bodom's specialty?
- Jamal Bodom is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Jamal Bodom located?
- Jamal Bodom's practice location on file with NPPES is 1345 Mendota Heights Rd Ste 400, Mendota Heights, MN 55120-2008.
- What is Jamal Bodom's phone number?
- The practice phone number listed in the NPPES registry for Jamal Bodom is (651) 431-6628.
- Is Jamal Bodom's NPI active?
- Yes — Jamal Bodom's NPI (1376408369) is active in the NPPES registry as of the last update on 2025-12-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.