Abdisatar A Muridi

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

2021 Monroe St Ste 304
Dearborn, MI 48124-2926

Phone

(517) 245-4778

Fax

(517) 698-8223

NPI assigned

Aug 12, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Advance ABA , LLC

  • Speech-Language Pathologist
  • Dearborn, MI
  • NPI 1679300487
  NPD Authorized official
• Advance ABA , LLC

  • Community/Behavioral Health Agency
  • Dearborn, MI
  • NPI 1548814551
  NPD

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1609422013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 S HOLMES ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121952",
            "telephone_number": "517-402-7418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 MONROE ST STE 304",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242926",
            "telephone_number": "517-245-4778",
            "fax_number": "517-698-8223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURIDI",
        "first_name": "ABDISATAR",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-12",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER'S LICENSE",
            "identifier": "M630029029477",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@advanceabacare.com",
            "affiliation": "N",
            "endpointDescription": "Direct Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2021 Monroe St Ste 304",
            "city": "Dearborn",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481242926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alexander Munchiando, AGNP-C
• Amanda Renee Mundy
• Asif Munir, M.D.
• Bryan Munoz, DO
• Asma Yosef Muqbel I
• Sabrina Muridi
• Amber Murphy, PA-C
• Carol Murphy, MSW, LMSW
• Cheyenne Cintae' Chirie' Murphy
• Devonier Murphy

• All providers in Dearborn, MI
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.