Mohamed Abdulle

Individual provider Active NPI Behavior Technician · Hopkins, MN

NPI 1386488013 · NPPES record last updated Jun 19, 2024

Key facts

NPI
1386488013
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1295 2ND St NE Apt 501
Hopkins, MN 55343-2208
Phone
(651) 402-8028
NPI assigned
Jun 19, 2024
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

1295 2ND St NE Apt 501
Hopkins, MN 55343-2208

Mailing address

1295 2ND St NE Apt 501
Hopkins, MN 55343-2208
Phone (651) 402-8028

Other providers in Hopkins, MN

All providers in Hopkins, MN · Behavior Technician in Minnesota

Sources for this page

Verify at the official NPI Registry.