Provider Demographics
NPI:1831085869
Name:HASAN, MAHDIA AADAN I
Entity type:Individual
Prefix:MRS
First Name:MAHDIA
Middle Name:AADAN
Last Name:HASAN
Suffix:I
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1020 E 146TH ST STE 269
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55337-6708
Mailing Address - Country:US
Mailing Address - Phone:612-205-8470
Mailing Address - Fax:612-403-1739
Practice Address - Street 1:1020 E 146TH ST STE 269
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-6708
Practice Address - Country:US
Practice Address - Phone:612-205-8470
Practice Address - Fax:612-403-1739
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician