Provider Demographics
NPI:1962388108
Name:NOUR, UMALKAYR
Entity type:Individual
Prefix:
First Name:UMALKAYR
Middle Name:
Last Name:NOUR
Suffix:
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 1:8608 TESSMAN CIR N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55445-3101
Mailing Address - Country:US
Mailing Address - Phone:612-499-4963
Mailing Address - Fax:
Practice Address - Street 1:6160 SUMMIT DR N # 219
Practice Address - Street 2:
Practice Address - City:BROOKLYN CENTER
Practice Address - State:MN
Practice Address - Zip Code:55430-2118
Practice Address - Country:US
Practice Address - Phone:619-576-6887
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician