Sharmarke M Abdilahi
Individual provider Active NPI Behavior Technician · Fridley, MN
NPI 1346964442 · NPPES record last updated Oct 3, 2022
Key facts
- NPI
- 1346964442
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 7205 University Ave NE
Fridley, MN 55432-3134 - Phone
- (612) 208-0729
- Fax
- (612) 354-3801
- NPI assigned
- Oct 3, 2022
- Sex
- Male
- 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 |
|---|---|---|---|
| Graceful Living Services LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | MN | Yes |
Addresses
Primary practice location
7205 University Ave NE
Fridley, MN 55432-3134
Mailing address
5901 3Rd St NE
Fridley, MN 55432-5455
Phone (612) 806-9570
Other providers in Fridley, MN
- Nasro Abdi
- Salma Khadar Abdi
- Samiro Salah Abdi
- Sumeiya Shueb Abdi
- Mohamed Mohamud Abdilahi
- Bahsan Abdubakar Abdille
- Dahir Sharif Abdiwahab
- Suhaib Abdulahi
- Sameh Ibrahim Abdulkader
- Ayan Jama Abdulkadir
All providers in Fridley, 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 Oct 3, 2022. 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.