Nasteh Abdi

Individual provider Active NPI Behavior Technician · Saint Cloud, MN

NPI 1578289823 · NPPES record last updated Oct 18, 2022

Key facts

NPI
1578289823
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
3400 1St St N
Saint Cloud, MN 56303-4000
Phone
(612) 806-9954
Fax
(320) 669-2882
NPI assigned
Oct 18, 2022
Sex
Male
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
Star Autism Center Current
since Apr 6, 2023
Accepting new patients

Locations

3400 1st St N
Saint Cloud, MN 56303
Phone (612) 597-8712

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

3400 1St St N
Saint Cloud, MN 56303-4000

Mailing address

3400 1St St N
Saint Cloud, MN 56303-4000
Phone (612) 806-9954

Other providers in Saint Cloud, MN

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

Sources for this page

Verify at the official NPI Registry.