Abdirahman Mohamed

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2719 W Division St Ste 107
Saint Cloud, MN 56301-3409

Phone

(320) 828-4205

Fax

(612) 465-5056

NPI assigned

May 3, 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

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.

• ABA Community Care LLC

  • Clinic/Center
  • Saint Cloud, MN
  • NPI 1063221000
  NPD Authorized official

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1154010395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2719 W DIVISION ST STE 107",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563013409",
            "telephone_number": "320-828-4205",
            "fax_number": "612-465-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2719 W DIVISION ST STE 107",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563013409",
            "telephone_number": "320-828-4205",
            "fax_number": "612-465-5056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2719 W Division St Ste 107",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "MN",
            "postal_code": "563013409",
            "country_code": "US",
            "telephone_number": "320-828-4205",
            "fax_number": "612-465-5056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHAMED",
        "first_name": "ABDIRAHMAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Lou Moe, LADC
• Rachel Moehn
• Chris K Moellentine, MD
• Jeana Moeller, LMFT
• Codi Afton Mogensen
• Abdirashid Mohamed
• Abdiwasa Mohamed
• Abdullahi Abukar Mohamed
• Aisha Abukar Mohamed
• Aisha Duh Mohamed

• Behavior Technician in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Behavior Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.