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Deactivated NPI 1396505905 Deactivated / Inactive NPI Male Practitioner

Mitchell Dean Cooper

Behavior Analyst • Eagan, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Mitchell Cooper has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 20, 2024
NPI Deactivation Date January 08, 2026
Total Practice Duration ~2 Years of Practice (2024 – 2026)

Professional Overview & Biography Verified Profile Summary

Mitchell Cooper was a registered Behavior Analyst practicing in Eagan, MN. Throughout an active medical career spanning 2 years, Mitchell Cooper provided care at the practice location at 860 BLUE GENTIAN RD STE 200 until profile deactivation on 2026-01-08.

Practice Location & Contact Primary Location

Practice Address

860 Blue Gentian Rd Ste 200

Eagan, MN 551211567

Telephone 6518022533
Associated Practice Facility / Clinic
🏢 Heritage Home Health Care Llc Facility NPI 1548712474

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Eagan, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.5 Yrs
Regional Practice Density
24 Specialists

Practicing in Eagan, MN (1398 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

35 Associated Practitioners
Faadumo Ahmed

Behavior Technician

NPI 1043019813
Andrew Luedtke

Behavior Technician

NPI 1043133663
Monique Saunders

Behavior Technician

NPI 1114808326
Stephan Ostlund

Behavior Technician

NPI 1154019347
Rashidah Shabazz

Counselor - Mental Health

NPI 1174342455
Abdiraham Hassan

Behavior Technician

NPI 1194606319

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 08, 2026

Record deactivated on January 08, 2026

NPI Profile Active March 20, 2024

NPI status registered as active in NPPES database

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Updated Practice Location March 20, 2024

Registered at 860 BLUE GENTIAN RD STE 200, EAGAN, MN 551211567 (Tel: 6518022533)

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Updated Business Mailing Address March 20, 2024

Registered at 14120 FOREST LN, APPLE VALLEY, MN 551243319 (Tel: 9527152125)

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Provider Name / Credentials Updated March 20, 2024

Recorded as MITCHELL COOPER

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2024

Behavior Analyst

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Initial NPI Registration & Enumeration March 20, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396505905
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 20, 2024
Last Update: March 20, 2024
Deactivation Date: January 08, 2026

Mailing Address

14120 Forest Ln

Apple Valley, MN 551243319

Phone: 9527152125

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.