Mohamed Mohamud Abdilahi, BA
Individual provider Active NPI Behavior Analyst · Fridley, MN
NPI 1407435498 · NPPES record last updated Apr 6, 2021
Key facts
- NPI
- 1407435498
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 4001 Stinson Blvd Ste 314
Fridley, MN 55421-3424 - Phone
- (612) 298-7636
- NPI assigned
- Apr 6, 2021
- Sex
- Male
- Sole proprietor
- Yes
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
- Credentials
- Bachelor of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amoud Center Inc | Current | Accepting new patients |
Locations
7205 University Ave NE
Minneapolis, MN 55432
Phone (612) 298-7636
4001 Stinson Blvd NE
Ste 314
Saint Anthony, MN 55421
Phone (612) 298-7636
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
4001 Stinson Blvd Ste 314
Fridley, MN 55421-3424
Mailing address
4001 Stinson Blvd Ste 314
Fridley, MN 55421-3424
Phone (612) 298-7636
Other providers in Fridley, MN
- Aisha Abdillahi Abdi
- Nasro Abdi
- Salma Khadar Abdi
- Samiro Salah Abdi
- Sumeiya Shueb Abdi
- Sharmarke M Abdilahi
- Bahsan Abdubakar Abdille
- Dahir Sharif Abdiwahab
- Suhaib Abdulahi
- Sameh Ibrahim Abdulkader
All providers in Fridley, MN · Behavior Analyst in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2021. 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.