Faid Mohamed Abdulle

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

432 Gateway Blvd
Burnsville, MN 55337-2559

Phone

(612) 707-2279

NPI assigned

Oct 30, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Achieve Autism Center Corp

  • Early Intervention Provider Agency
  • Burnsville, MN
  • NPI 1407555444
  NPD

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1073385332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 GATEWAY BLVD",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372559",
            "telephone_number": "612-707-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 GATEWAY BLVD",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372559",
            "telephone_number": "612-707-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDULLE",
        "first_name": "FAID",
        "middle_name": "MOHAMED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sundus Adan Abdullahi
• Yahye Abdullahi
• Ahmed Hersi Abdulle
• Amina Mahamud Abdulle
• Anis Mohamed Abdulle
• Muna Ahmed Abdulle
• Zamzam Abdulle
• Abdulfatah Abdulrahman
• Idhil Abdulrazak
• Abeam Health Services

• Behavior Technician in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Behavior Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.