Individual provider Active NPI

Fardus Saleban Garbiye

  • Behavior Technician
  • Minneapolis, MN
National Provider Identifier
1629814793
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
1919 Broadway St NE Ste 120
Minneapolis, MN 55413-1253
Phone
(612) 323-1817
NPI assigned
Jul 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

1919 Broadway St NE Ste 120
Minneapolis, MN 55413-1253

Mailing address

2745 Herschel St N Unit A319
Roseville, MN 55113-4480
Phone (612) 323-1871

Other practice location 1

1919 Broadway St NE Ste 120
Minneapolis, MN 55413-1253
Phone (612) 323-1871

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

Practice roles

OrganizationSpecialtyStatusNew patients
Connections Health Center CurrentSince Jul 21, 2024 Accepting new patients

Locations

1919 Broadway St NE
Ste 120
Minneapolis, MN 55413
Phone (612) 323-1871

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.

NPI Registry JSON

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1629814793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2745 HERSCHEL ST N UNIT A319",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551134480",
            "telephone_number": "612-323-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 BROADWAY ST NE STE 120",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131253",
            "telephone_number": "612-323-1817"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1919 Broadway St NE Ste 120",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554131253",
            "country_code": "US",
            "telephone_number": "612-323-1871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARBIYE",
        "first_name": "FARDUS",
        "middle_name": "SALEBAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.