Aisha Abdillahi Abdi
Individual provider Active NPI Behavior Technician · Fridley, MN
NPI 1053155176 · NPPES record last updated Jun 24, 2024
Key facts
- NPI
- 1053155176
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 7920 University Ave NE
Fridley, MN 55432-1860 - Phone
- (651) 207-4341
- NPI assigned
- Jun 24, 2024
- Sex
- Female
- 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 |
|---|---|---|---|
| Enlight Autism Center LLC | Current |
Accepting new patients |
Locations
7920 University Ave NE
Fridley, MN 55432
Phone (651) 207-4341
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
7920 University Ave NE
Fridley, MN 55432-1860
Mailing address
7920 University Ave NE
Fridley, MN 55432-1860
Other providers in Fridley, MN
- Maria E Aagesen-Reznecheck
- Lyla Lynn Aaland
- Chano Mahamed Abader
- Mona Abdel-Bary
- Abdirashid Mohamed Abdi
- Nasro Abdi
- Salma Khadar Abdi
- Samiro Salah Abdi
- Sumeiya Shueb Abdi
- Mohamed Mohamud Abdilahi
All providers in Fridley, 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 Jun 24, 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.