Abdiqani Ahmed
Individual provider Active NPI Behavior Technician · Saint Anthony, MN
NPI 1073373379 · NPPES record last updated Mar 21, 2024
Key facts
- NPI
- 1073373379
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 3055 Old Highway 8 Ste 190
Saint Anthony, MN 55418-2595 - Phone
- (612) 345-7659
- Fax
- (612) 605-6300
- NPI assigned
- Mar 21, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
3055 Old Highway 8 Ste 190
Saint Anthony, MN 55418-2595
Mailing address
16909 39TH Ave N
Minneapolis, MN 55446-3371
Phone (612) 229-2236
Other providers in Saint Anthony, MN
- Malyun Abdi Aden
- Moktar Aden
- Advance Support Services
- Afia Child Services Inc
- Mohamed Abdifatah Ahmed Omar
- Abdirizak Shariff Ahmed
- Adna A Ahmed
- Anisa Ahmed
- Faysa Ahmed
- Habon Ahmed
All providers in Saint Anthony, 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 Mar 21, 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.