Individual provider Active NPI

Abubakar Binji

  • Behavior Analyst
  • St Louis Park, MN
National Provider Identifier
1003438268
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
8133 Issued in TX
Practice address
4236 Park Glen Rd
St Louis Park, MN 55416-4758
Phone
(952) 888-7055
Fax
(612) 605-3312
NPI assigned
May 11, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X
Behavior Analyst 103K00000X 2647 NC
Behavior Analyst 103K00000X 8133 TX Primary

Addresses

Primary practice location

4236 Park Glen Rd
St Louis Park, MN 55416-4758

Mailing address

7800 Metro Pkwy Ste 300
Minneapolis, MN 55425-1509
Phone (612) 562-9204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8133TXMDBehavioral Analyst
2647NCMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Talk Alerts Consulting LLC Mental Health Current Accepting new patients
Polestar ABA Therapy LLC Behavior Analyst Past Accepting new patients
Iska Inc PastSince May 17, 2020 Accepting new patients

Locations

7800 Metro Pkwy
Ste 300
Minneapolis, MN 55425
Phone (952) 854-2440

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1589155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1003438268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 METRO PKWY STE 300",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554251509",
            "telephone_number": "612-562-9204",
            "fax_number": "612-930-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4236 PARK GLEN RD",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554164758",
            "telephone_number": "952-888-7055",
            "fax_number": "612-605-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINJI",
        "first_name": "ABUBAKAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-11",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "2647",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "8133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.