Ikram Mohamed Abdullahi
Individual provider Active NPI Behavior Technician · Edina, MN
NPI 1346932068 · NPPES record last updated May 22, 2023
Key facts
- NPI
- 1346932068
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 5624 Lincoln Dr Ste 295
Edina, MN 55436-1606 - Phone
- (952) 395-3322
- Fax
- (612) 465-1788
- NPI assigned
- May 22, 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 |
|---|---|---|---|
| Ausome Development Center Inc | Current |
Accepting new patients |
Locations
5624 Lincoln Dr
Ste 295
Edina, MN 55436
Phone (612) 987-8022
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
5624 Lincoln Dr Ste 295
Edina, MN 55436-1606
Mailing address
5624 Lincoln Dr Ste 295
Edina, MN 55436-1606
Phone (952) 395-3322
Other providers in Edina, MN
- Abdiqani Bashir Abdulkadir
- Faiza Mohamed Abdulkadir
- Ruwayda Yasin Abdulkadir
- Maryan Abdullahi-Hussein
- Fatuma Hassan Abdullahi
- Mohamed Abdiaziz Abdullahi
- Mulki Sahal Abdullahi
- Sadaq Abdullahi
- Ubah Yusuf Abdullahi
- Zakaria Sahal Abdullahi
All providers in Edina, 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 May 22, 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.