Nazifa Jabal Abasham

Individual provider Active NPI Behavior Technician · Woodbury, MN

NPI 1124995535 · NPPES record last updated Oct 21, 2025

Key facts

NPI
1124995535
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
7805 Hudson Rd
Woodbury, MN 55125
Phone
(952) 767-4200
Fax
(952) 767-4211
NPI assigned
Oct 21, 2025
Sex
Female
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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

7805 Hudson Rd
Woodbury, MN 55125

Mailing address

5860 Baker Rd
Minnetonka, MN 55345
Phone (952) 767-4200

Other providers in Woodbury, MN

All providers in Woodbury, MN · Behavior Technician in Minnesota

Sources for this page

Verify at the official NPI Registry.