Faduma Abdikadir

Individual provider Active NPI Behavior Technician · Saint Paul, MN

NPI 1437868692 · NPPES record last updated Nov 16, 2022

Key facts

NPI
1437868692
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
706 Robert St S
Saint Paul, MN 55107-2948
Phone
(952) 393-7939
NPI assigned
Nov 16, 2022
Sex
Female
Sole proprietor
No

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Cities Autism Therapy Center Current
since Nov 20, 2022
Accepting new patients

Locations

706 Robert St S
Saint Paul, MN 55107
Phone (651) 330-3331

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

706 Robert St S
Saint Paul, MN 55107-2948

Mailing address

706 Robert St S
Saint Paul, MN 55107-2948
Phone (952) 393-7939

Other providers in Saint Paul, MN

All providers in Saint Paul, MN · Behavior Technician in Minnesota

Sources for this page

Verify at the official NPI Registry.