Warsan Abdi

Individual provider Active NPI Behavior Technician · Bloomington, MN

NPI 1336735604 · NPPES record last updated Dec 21, 2020

Key facts

NPI
1336735604
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
8119 Bloomington Ave
Bloomington, MN 55425-1109
Phone
(651) 239-7971
NPI assigned
Dec 21, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

8119 Bloomington Ave
Bloomington, MN 55425-1109

Mailing address

8119 Bloomington Ave
Bloomington, MN 55425-1109
Phone (651) 239-7971

Other providers in Bloomington, MN

All providers in Bloomington, MN · Behavior Technician in Minnesota

Sources for this page

Verify at the official NPI Registry.