Individual provider Active NPI

Abdullatif Nurie

  • Behavior Analyst
  • Eden Prairie, MN
National Provider Identifier
1023800760
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
6520 Edenvale Blvd Ste 112
Eden Prairie, MN 55346-2564
Phone
(612) 261-9312
Fax
(612) 500-4700
NPI assigned
May 19, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

6520 Edenvale Blvd Ste 112
Eden Prairie, MN 55346-2564

Mailing address

6520 Edenvale Blvd Ste 112
Eden Prairie, MN 55346-2564
Phone (612) 261-9312

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

Practice roles

OrganizationSpecialtyStatusNew patients
Magnitude Therapy Services LLC CurrentSince May 25, 2025 Accepting new patients

Locations

6520 Edenvale Blvd
Ste 112
Eden Prairie, MN 55346
Phone (612) 261-9312

Organizations & group practices 1

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": "1747612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1023800760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6520 EDENVALE BLVD STE 112",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553462564",
            "telephone_number": "612-261-9312",
            "fax_number": "612-500-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6520 EDENVALE BLVD STE 112",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553462564",
            "telephone_number": "612-261-9312",
            "fax_number": "612-500-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NURIE",
        "first_name": "ABDULLATIF",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.