IndividualActive
Van Dyke Noah
NPI 1619410412 · Behavior Technician · Eagan, MN
Van Dyke Noah is a Behavior Technician provider in Eagan, MN (NPI 1619410412).
Provider details
- NPI number
- 1619410412
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1083493-1-HCBS (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Respite Care Facility
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% 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
4836 Safari Pass
Eagan, MN 55122-2663
Phone: (952) 846-8047
Fax: (651) 452-2698
Street-level locationGet directions
Mailing address
4836 Safari Pass
Eagan, MN 55122-2663
Registry dates
- Enumerated
- 2016-11-28
- Last updated
- 2016-11-28
Frequently asked questions
- What is Van Dyke Noah's NPI number?
- Van Dyke Noah's National Provider Identifier (NPI) is 1619410412, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Van Dyke Noah's specialty?
- Van Dyke Noah is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Van Dyke Noah located?
- Van Dyke Noah's practice location on file with NPPES is 4836 Safari Pass, Eagan, MN 55122-2663.
- What is Van Dyke Noah's phone number?
- The practice phone number listed in the NPPES registry for Van Dyke Noah is (952) 846-8047.
- Is Van Dyke Noah's NPI active?
- Yes — Van Dyke Noah's NPI (1619410412) is active in the NPPES registry as of the last update on 2016-11-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.