Active NPI
Abdirahman Mohamud Farah
- Behavior Analyst
- Mankato, MN
National Provider Identifier
1366219164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 2140 Hoffman Rd
Mankato, MN 56001-5863 - Phone
- (507) 351-1034
- NPI assigned
- Dec 11, 2023
- Sex
- Male
- 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 Analyst | 103K00000X | Primary |
Addresses
Primary practice location
2140 Hoffman Rd
Mankato, MN 56001-5863
Mailing address
2010 Prairie Rose Dr Apt 204
Mankato, MN 56001-6642
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 |
|---|---|---|---|
| Mankato Full Spectrum ABA | Behavior Analyst | Current | Accepting new patients |
Locations
2140 Hoffman Rd
Mankato, MN 56001
Phone (507) 351-1034
Organizations & group practices 1
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.
-
- Behavior Analyst
- Mankato, MN
- NPI 1356127997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702252800000",
"number": "1366219164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2010 PRAIRIE ROSE DR APT 204",
"city": "MANKATO",
"state": "MN",
"postal_code": "560016642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2140 HOFFMAN RD",
"city": "MANKATO",
"state": "MN",
"postal_code": "560015863",
"telephone_number": "507-351-1034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARAH",
"first_name": "ABDIRAHMAN",
"middle_name": "MOHAMUD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-12-11",
"last_updated": "2023-12-11",
"certification_date": "2023-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mankato, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.