Suleiman Mohamed Abdi

Individual provider Active NPI Behavior Technician · Edina, MN

NPI 1487535100 · NPPES record last updated Sep 9, 2025

Key facts

NPI
1487535100
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
6975 Washington Ave S
Edina, MN 55439-1511
Phone
(763) 600-4133
Fax
(866) 635-1990
NPI assigned
Sep 9, 2025
Sex
Male
Sole proprietor
Yes

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 MN Yes

Addresses

Primary practice location

6975 Washington Ave S
Edina, MN 55439-1511

Mailing address

6975 Washington Ave S
Edina, MN 55439-1511
Phone (763) 600-4133

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 9, 2025.

{
    "created_epoch": "1757376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1487535100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6975 WASHINGTON AVE S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554391511",
            "telephone_number": "763-600-4133",
            "fax_number": "866-635-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6975 WASHINGTON AVE S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554391511",
            "telephone_number": "763-600-4133",
            "fax_number": "866-635-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDI",
        "first_name": "SULEIMAN",
        "middle_name": "MOHAMED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

All providers in Edina, MN · Behavior Technician in Minnesota

Sources for this page

Verify at the official NPI Registry.