Salah Mohamed Abu
Individual provider Active NPI Behavior Technician · Minneapolis, MN
NPI 1033946751 · NPPES record last updated Sep 17, 2024
Key facts
- NPI
- 1033946751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 121 Hennepin Ave
Minneapolis, MN 55401-1802 - Phone
- (612) 354-2424
- Fax
- (612) 288-1805
- NPI assigned
- Sep 17, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakes Counseling Services LLC | Current |
Accepting new patients |
Locations
121 Hennepin Ave
Minneapolis, MN 55401
Phone (612) 354-2424
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
121 Hennepin Ave
Minneapolis, MN 55401-1802
Mailing address
121 Hennepin Ave
Minneapolis, MN 55401-1802
Phone (612) 354-2424
Other providers in Minneapolis, MN
- Absolute Royal Home Services Corp
- Yakub Muse Absuge
- Mayada Abu Shanap
- Mohamad Abu Sharkh
- Ala Saleem Ahmad Abu-Dayeh
- Rebecca Abuayed
- Nasra Abubakar
- Zohaib Jawed Abubaker
- Nisreen Abdelmuti Abuhadid
- Adna Mustafa Abukar
All providers in Minneapolis, MN · Behavior Technician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.