Active NPI
Abdikadir Yahye Abdikadir
- Behavior Technician
- Minneapolis, MN
National Provider Identifier
1164112660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 2501 Taylor St NE # 1a
Minneapolis, MN 55418-3731 - Phone
- (952) 200-4338
- NPI assigned
- May 9, 2023
- Sex
- Male
- Sole proprietor
- Yes
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
2501 Taylor St NE # 1a
Minneapolis, MN 55418-3731
Mailing address
2501 Taylor St NE # 1a
Minneapolis, MN 55418-3731
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 |
|---|---|---|---|
| Early Intervention Therapy LLC | Current | Accepting new patients | |
| Open Arm Homes, LLC | Current | Accepting new patients |
Locations
2501 Taylor St NE
#1A
Minneapolis, MN 55418
Phone (952) 200-4338
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.
-
- Early Intervention Provider Agency
- Burnsville, MN
- NPI 1174274252
-
- Home Health Agency
- Blaine, MN
- NPI 1659257749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683590400000",
"number": "1164112660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 TAYLOR ST NE # 1A",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554183731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 TAYLOR ST NE # 1A",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554183731",
"telephone_number": "952-200-4338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDIKADIR",
"first_name": "ABDIKADIR",
"middle_name": "YAHYE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-05-09",
"last_updated": "2023-05-09",
"certification_date": "2023-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.