Mahamedamin Abdi

Individual provider Active NPI Behavior Technician · Bloomington, MN

NPI 1508667353 · NPPES record last updated Mar 19, 2025

Key facts

NPI
1508667353
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
9358 Ensign Ave S
Bloomington, MN 55438-1472
Phone
(612) 743-2465
NPI assigned
Mar 19, 2025
Sex
Male
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

9358 Ensign Ave S
Bloomington, MN 55438-1472

Mailing address

9358 Ensign Ave S
Bloomington, MN 55438-1472
Phone (612) 743-2465

Other providers in Bloomington, MN

All providers in Bloomington, MN · Behavior Technician in Minnesota

Sources for this page

Verify at the official NPI Registry.