Abdirahim Yaasiin Qaybdid

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

7205 University Ave NE
Fridley, MN 55432-3134

Phone

(612) 298-7636

Fax

(612) 354-3801

NPI assigned

Mar 31, 2023

Last updated

Jul 25, 2023By the provider in NPPES

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

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1184329120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 JEFFERSON ST NE",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554325635",
            "telephone_number": "763-347-9624",
            "fax_number": "612-354-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7205 UNIVERSITY AVE NE",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554323134",
            "telephone_number": "612-298-7636",
            "fax_number": "612-354-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QAYBDID",
        "first_name": "ABDIRAHIM",
        "middle_name": "YAASIIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-31",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven E Prawer, M.D.
• Premise Health of Minnesota Medical PC (Cummins Health Center Fridley)
• Janet Lynn Price, M.D.
• Pride N Living Home Care Inc .
• Prime Enterprise, Inc.
• Asia Yaasin Qaybdid
• Naima Yaasiin Qaybdid
• Jamal Ahmad Qureshi, MD
• R.PH.S Direct PLLC
• Ilhan A Raage

• Behavior Technician in Fridley, MN
• Providers in Fridley, MN by specialty
• Behavior Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.