Fartun Abdulkadir

Individual provider Active NPI Behavior Technician · Faribault, MN

NPI 1457067092 · NPPES record last updated Jan 26, 2023

Key facts

NPI
1457067092
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
201 Lyndale Ave S Ste L3
Faribault, MN 55021-5758
Phone
(612) 707-1718
NPI assigned
Jan 26, 2023
Sex
Female
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

201 Lyndale Ave S Ste L3
Faribault, MN 55021-5758

Mailing address

201 Lyndale Ave S Ste L3
Faribault, MN 55021-5758

Other providers in Faribault, MN

All providers in Faribault, MN · Behavior Technician in Minnesota

Sources for this page

Verify at the official NPI Registry.