Abdiqadar Hussein Addow Sr.
Individual provider Active NPI Behavior Analyst · Saint Anthony, MN
NPI 1669010559 · NPPES record last updated Dec 11, 2019
Key facts
- NPI
- 1669010559
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 3055 Old Highway 8 Ste 101F
Saint Anthony, MN 55418-2500 - Phone
- (612) 259-7715
- Fax
- (612) 259-7889
- NPI assigned
- Dec 11, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senzilla Health Services, LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
3055 Old Highway 8 Ste 101F
Saint Anthony, MN 55418-2500
Mailing address
3055 Old Highway 8 Ste 101F
Saint Anthony, MN 55418-2500
Phone (612) 259-7715
Other practice location 1
3055 Old Highway 8 Ste 101
Saint Anthony, MN 55418-2495
Phone (612) 259-7715
Other providers in Saint Anthony, MN
- Abu Huraira Adult Day Adult Services LLC
- Acadia LLC
- Access Healing Center
- Amal Adam
- Hannan Adam
- Filsan Hud Aden
- Malyun Abdi Aden
- Moktar Aden
- Advance Support Services
- Afia Child Services Inc
All providers in Saint Anthony, MN · Behavior Analyst in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.