Active NPI
Soada Abdirahman
- Behavior Technician
- Oakdale, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 434 Hayward Ave N
Oakdale, MN 55128-5379 - Phone
- (651) 739-2300
- NPI assigned
- Apr 19, 2022
- Last updated
- Aug 10, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | NU | Primary |
Addresses
Primary practice location
434 Hayward Ave N
Oakdale, MN 55128-5379
Mailing address
5181 161St St W
Lakeville, MN 55044-4963
Phone (952) 228-0267
Other practice location 1
1501 Southcross Dr W
Burnsville, MN 55306-6938
Phone (952) 456-1474
Other practice location 2
434 Hayward Ave N
Oakdale, MN 55128-5379
Phone (651) 739-2300
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | office@csllinc.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Speech, Language and Learning, Inc. | Current | Accepting new patients | |
| Center for Speech, Language, and Learning, Inc. | Past | Accepting new patients |
Locations
434 Hayward Ave N
Saint Paul, MN 55128
Phone (651) 739-2300
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Center for Speech Language Lea
- Speech-Language Pathologist
- Oakdale, MN
- NPI 1164588307
-
- Hearing and Speech Clinic/Center
- Oakdale, MN
- NPI 1588592471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660089600000",
"number": "1366185183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5181 161ST ST W",
"city": "LAKEVILLE",
"state": "MN",
"postal_code": "550444963",
"telephone_number": "952-228-0267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "434 HAYWARD AVE N",
"city": "OAKDALE",
"state": "MN",
"postal_code": "551285379",
"telephone_number": "651-739-2300"
}
],
"practiceLocations": [
{
"address_1": "1501 Southcross Dr W",
"address_purpose": "LOCATION",
"city": "Burnsville",
"state": "MN",
"postal_code": "553066938",
"country_code": "US",
"telephone_number": "952-456-1474",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "434 Hayward Ave N",
"address_purpose": "LOCATION",
"city": "Oakdale",
"state": "MN",
"postal_code": "551285379",
"country_code": "US",
"telephone_number": "651-739-2300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABDIRAHMAN",
"first_name": "SOADA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-19",
"last_updated": "2022-08-10",
"certification_date": "2022-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "office@csllinc.com",
"affiliation": "N",
"address_1": "434 Hayward Ave N",
"city": "Oakdale",
"state": "MN",
"country_code": "US",
"postal_code": "551285379",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Oakdale, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.