Amin Abdijabar

Individual provider Active NPI Behavior Analyst · Waite Park, MN

NPI 1093607228 · NPPES record last updated Jul 21, 2025

Key facts

NPI
1093607228
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
74 10TH Ave S
Waite Park, MN 56387-1055
Phone
(612) 636-5139
NPI assigned
Jul 21, 2025
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Behavioral Center LLC Past
since Jul 28, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Yes

Addresses

Primary practice location

74 10TH Ave S
Waite Park, MN 56387-1055

Mailing address

74 10TH Ave S
Waite Park, MN 56387-1055

Other providers in Waite Park, MN

All providers in Waite Park, MN · Behavior Analyst in Minnesota

Sources for this page

Verify at the official NPI Registry.