Active NPI
Sayidali Abdullahi Mohamed
- Behavior Technician
- Saint Paul, MN
National Provider Identifier
1104701028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 393 Dunlap St N Ste 861
Saint Paul, MN 55104-4204 - Phone
- (651) 666-3291
- NPI assigned
- Aug 8, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
393 Dunlap St N Ste 861
Saint Paul, MN 55104-4204
Mailing address
763 Winnetka Ave N
Golden Valley, MN 55427-4529
Phone (612) 946-2325
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathwaycare Transportation Inc | Current | Accepting new patients | |
| Adoptive Steps Therapy Inc | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Rogers, MN
- NPI 1043100613
-
- Non-emergency Medical Transport (VAN)
- St Anthony, MN
- NPI 1679468409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754611200000",
"number": "1104701028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "763 WINNETKA AVE N",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554274529",
"telephone_number": "612-946-2325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "393 DUNLAP ST N STE 861",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551044204",
"telephone_number": "651-666-3291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHAMED",
"first_name": "SAYIDALI",
"middle_name": "ABDULLAHI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-08",
"last_updated": "2025-08-08",
"certification_date": "2025-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.