Abdullahi Hassan Abdirisak
Individual provider Active NPI Behavior Technician · Saint Louis Park, MN
NPI 1326822016 · NPPES record last updated Aug 23, 2023
Key facts
- NPI
- 1326822016
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 4236 Park Glen Rd
Saint Louis Park, MN 55416-4758 - Phone
- (952) 888-7055
- NPI assigned
- Aug 23, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| Axis Home Healthcare L. L. C. | Current | Accepting new patients | |
| Iska Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | MN | Yes |
Addresses
Primary practice location
4236 Park Glen Rd
Saint Louis Park, MN 55416-4758
Mailing address
4236 Park Glen Rd
Saint Louis Park, MN 55416-4758
Phone (952) 888-7055
Other providers in Saint Louis Park, MN
- Fardowsa Faisal Abdi
- Hamido Abdi
- Maryam A M Abdi
- Muna Abdi
- Sharmarke Abdi
- Ikraan Abdulaahi
- Iqlaas Faarah Abdulaahi
- Urgi Sitina Abdulaya
- Zahur M Abdullahi
- Catherine Abel
All providers in Saint Louis Park, MN · Behavior Technician 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 23, 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.