Individual provider Active NPI

Maedin Abegaz

  • Behavior Technician
  • Eagan, MN
National Provider Identifier
1033062625
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
3410 Federal Dr Ste 107
Eagan, MN 55122-1337
Phone
(651) 497-8356
Fax
(612) 520-5393
NPI assigned
Feb 16, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X MN Primary

Addresses

Primary practice location

3410 Federal Dr Ste 107
Eagan, MN 55122-1337

Mailing address

13533 Lynn Ave
1375 Davern Street Apt 119
Savage, MN 55378-2096
Phone (651) 497-8356

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
Bright Spectrum Center Current Accepting new patients

Locations

3410 Federal Dr
Ste 107
Eagan, MN 55122
Phone (612) 432-6365

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1771200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1033062625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13533 LYNN AVE",
            "address_2": "1375 DAVERN STREET APT 119",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553782096",
            "telephone_number": "651-497-8356",
            "fax_number": "612-520-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 FEDERAL DR STE 107",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551221337",
            "telephone_number": "651-497-8356",
            "fax_number": "612-520-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABEGAZ",
        "first_name": "MAEDIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-16",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; 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.