Individual provider Active NPI

Abdirashied Liban Cowke

  • Behavior Technician
  • Saint Paul, MN
National Provider Identifier
1366229486
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
1380 Energy LN Ste 201
Saint Paul, MN 55108-5253
Phone
(763) 346-0522
NPI assigned
Sep 12, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

1380 Energy LN Ste 201
Saint Paul, MN 55108-5253

Mailing address

2101 Bryant Ave S Apt 307
Minneapolis, MN 55405-2838
Phone (612) 297-4639

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

OrganizationSpecialtyStatusNew patients
Ep Academy LLC CurrentSince Aug 4, 2024 Accepting new patients

Locations

1380 Energy Ln
Ste 201
Saint Paul, MN 55108
Phone (763) 286-3274

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1366229486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 BRYANT AVE S APT 307",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554052838",
            "telephone_number": "612-297-4639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 ENERGY LN STE 201",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551085253",
            "telephone_number": "763-346-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWKE",
        "first_name": "ABDIRASHIED",
        "middle_name": "LIBAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.

Verify at the official NPI Registry.