Salahudin Awil Abdikadir
Individual provider Active NPI Behavior Technician · Shoreview, MN
NPI 1710794367 · NPPES record last updated Dec 17, 2024
Key facts
- NPI
- 1710794367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 4186 Lexington Ave N
Shoreview, MN 55126-5512 - Phone
- (612) 644-8021
- NPI assigned
- Dec 17, 2024
- 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 |
|---|---|---|---|
| Caring Paradise L. L. C. | Current |
Accepting new patients |
Locations
4186 Lexington Ave N
Shoreview, MN 55126
Phone (612) 644-8021
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
4186 Lexington Ave N
Shoreview, MN 55126-5512
Mailing address
4186 Lexington Ave N
Shoreview, MN 55126
Phone (612) 644-8021
Other providers in Shoreview, MN
- 2 Sisters Pca Choice Home Care, Inc
- Faiza Ahmed Abdihoosh
- Hamdi Ahmed Abdihoosh
- Abdifatah Mohamed Abdirahman
- Yasir Mohamed Abdisabur
- Hibo Abdi Abdullahi
- Yahya Abdullahi
- Elissa Beth Abrams
All providers in Shoreview, MN · Behavior Technician 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 17, 2024. 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.