Individual provider Active NPI

Abdullahi Said Abdisalam

  • Behavior Technician
  • Phoenix, AZ
National Provider Identifier
1487528816
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
802 N 30TH St Apt 1062
Phoenix, AZ 85008-6133
Phone
(602) 693-5294
NPI assigned
Sep 30, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

802 N 30TH St Apt 1062
Phoenix, AZ 85008-6133

Mailing address

802 N 30TH St Apt 1062
Phoenix, AZ 85008-6133
Phone (602) 693-5294

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

NPI Registry JSON

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

{
    "created_epoch": "1759190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1487528816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 N 30TH ST APT 1062",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850086133",
            "telephone_number": "602-693-5294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 N 30TH ST APT 1062",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850086133",
            "telephone_number": "602-693-5294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDISALAM",
        "first_name": "ABDULLAHI",
        "middle_name": "SAID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-30",
        "last_updated": "2025-10-24",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.