Awil Abdirahman Guled

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3401 Hiawatha Ave
Minneapolis, MN 55406-2525

Phone

(612) 353-4133

Fax

(612) 886-2080

NPI assigned

Nov 9, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Prime Growth Behavior Services Inc.

  • Community/Behavioral Health Agency
  • Minneapolis, MN
  • NPI 1073262671
  NPD

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1023726007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 HIAWATHA AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554062525",
            "telephone_number": "612-353-4133",
            "fax_number": "612-886-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 HIAWATHA AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554062525",
            "telephone_number": "612-353-4133",
            "fax_number": "612-886-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULED",
        "first_name": "AWIL",
        "middle_name": "ABDIRAHMAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-09",
        "last_updated": "2022-11-09",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Gul, MD
• Samira Yussuf Gulaid
• Hamide Evin Gulbahce, M.D.
• Melissa Ann Gulden, FNP-BC
• Awale A Guled
• Fadumo Abdi Guled
• Farhan Guled
• Guled Guled
• Ibrahim A Guled
• Idil A Guled

• Behavior Technician in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Behavior Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.