Darartu-Ayaantu Abdalla

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

5701 Shingle Creek Pkwy Ste 661
Brooklyn Center, MN 55430-2486

Phone

(952) 303-5803

NPI assigned

Oct 25, 2021

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Comfort Therapeutic Services LLC

  • Community/Behavioral Health Agency
  • Saint Paul, MN
  • NPI 1326556143
  NPD
• Courage Care Autism Therapy, LLC

  • Early Intervention Provider Agency
  • Saint Paul, MN
  • NPI 1538758248
  NPD
• Soriya Grace Academy, LLC

  • Early Intervention Provider Agency
  • Saint Paul, MN
  • NPI 1033860739
  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 25, 2021.

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1346904596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 SHINGLE CREEK PKWY STE 661",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302486",
            "telephone_number": "952-303-5803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 SHINGLE CREEK PKWY STE 661",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302486",
            "telephone_number": "952-303-5803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDALLA",
        "first_name": "DARARTU-AYAANTU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Place to Stand, Seven Days Pca Services
• A&J Wellness Group LLC
• Sara Aase
• Catherine Nkiru Abbaa
• Onika Fern Abbott
• Hafsa Abdi
• Hafsa Abdi
• Khajer Abdi
• Anis Abdullahi
• Asiya H Abdullahi

• All providers in Brooklyn Center, MN
• Behavior Analyst in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.