Active NPI
ABA Therapy LLC
- Early Intervention Provider Agency
- Minneapolis, MN
National Provider Identifier
1215697016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- Legal business name
- ABA THERAPY LLC
- Practice address
- 505 E Grant St Ste 202
Minneapolis, MN 55404-1411 - Phone
- (612) 249-8907
- Fax
- (612) 249-8997
- NPI assigned
- Dec 21, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hanna Mohamud
- Title
- Director
- Phone
- (612) 249-8907
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | Primary |
Addresses
Primary practice location
505 E Grant St Ste 202
Minneapolis, MN 55404-1411
Mailing address
505 E Grant St Ste 202
Minneapolis, MN 55404-1411
Phone (612) 249-8907
National Provider Directory
National Provider DirectoryLocations
2415 Emerson Ave S
Ste B2
Minneapolis, MN 55405
505 E Grant St
Ste 202
Minneapolis, MN 55404
Phone (612) 249-8907
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Technician
- Bloomington, MN
- NPI 1790442275
-
- Behavior Technician
- Minneapolis, MN
- NPI 1578387387
-
- Behavior Technician
- Minneapolis, MN
- NPI 1316761984
-
- Behavior Technician
- Minneapolis, MN
- NPI 1639993215
-
- Behavior Technician
- Minneapolis, MN
- NPI 1588488746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778112000000",
"number": "1215697016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 E GRANT ST STE 202",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554041411",
"telephone_number": "612-249-8907",
"fax_number": "612-249-8997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 E GRANT ST STE 202",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554041411",
"telephone_number": "612-249-8907",
"fax_number": "612-249-8997"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABA THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-21",
"last_updated": "2026-05-07",
"certification_date": "2026-05-07",
"status": "A",
"authorized_official_last_name": "MOHAMUD",
"authorized_official_first_name": "HANNA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "612-249-8907"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"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 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.