Active NPI
Abdulfatah Abdulrahman
- Behavior Technician
- Burnsville, MN
National Provider Identifier
1669182143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1500 McAdrews Road W, Suite 100
Burnsville, MN 55337-5533 - Phone
- (952) 229-5349
- NPI assigned
- Nov 25, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
1500 McAdrews Road W, Suite 100
Burnsville, MN 55337-5533
Mailing address
1500 McAdrews Road W, Suite 100
Burnsville, MN 55337
Phone (952) 229-5349
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Autism Center | Current | Accepting new patients |
Locations
1500 McAndrews Rd W
Ste 100
Burnsville, MN 55337
Phone (952) 229-5349
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.
-
- Developmental Disabilities Clinic/Center
- Burnsville, MN
- NPI 1790350965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669334400000",
"number": "1669182143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 MCADREWS ROAD W, SUITE 100",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "55337",
"telephone_number": "952-229-5349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 MCADREWS ROAD W, SUITE 100",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553375533",
"telephone_number": "952-229-5349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDULRAHMAN",
"first_name": "ABDULFATAH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-25",
"last_updated": "2022-11-25",
"certification_date": "2022-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burnsville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.