Idman Abdullahi
Individual provider Active NPI Behavior Analyst · Saint Cloud, MN
NPI 1285316372 · NPPES record last updated Aug 7, 2023
Key facts
- NPI
- 1285316372
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 1406 19TH St SE
Saint Cloud, MN 56304-4661 - Phone
- (612) 636-5139
- NPI assigned
- Aug 7, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Care Behavioral Center LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
1406 19TH St SE
Saint Cloud, MN 56304-4661
Mailing address
1406 19TH St SE
Saint Cloud, MN 56304-4661
Other practice location 1
1406 19th St SE
Saint Cloud, MN 56304-4661
Phone (612) 636-5139
Other providers in Saint Cloud, MN
- Hamza Mohammed Abdulkarim
- Hanan Abdullah
- Abdirahman Abdullahi
- Fatuma Yusuf Abdullahi
- Habso Abdullahi
- Khalid Mohamed Abdullahi
- Mohamed Ahmed Abdullahi
- Naimo A Abdullahi
- Nima Abdullahi
- Qadra Omar Abdullahi
All providers in Saint Cloud, MN · Behavior Analyst in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.