Ashkiro Adan

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

74 10TH Ave S
Waite Park, MN 56387-1055

Phone

(612) 636-5139

Fax

(612) 465-5056

NPI assigned

Nov 14, 2024

Last updated

Nov 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Care Behavioral Center LLC

  • Early Intervention Provider Agency
  • Waite Park, MN
  • NPI 1699407148
  NPD (past)

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1740004704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 10TH AVE S",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563871055",
            "telephone_number": "612-636-5139",
            "fax_number": "612-465-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 10TH AVE S",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563871055",
            "telephone_number": "612-636-5139",
            "fax_number": "612-465-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAN",
        "first_name": "ASHKIRO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayan Abukar
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• Carina Achman
• Courtney Ackerman, RPH
• Acupuncture Health & Healing Inc
• Hassan Amin Aden Jr.
• Oluwatoyin Adetunji
• Aegis Group Practice, LLC
• Balkiis Mohamed Ahmed
• Fadumo Salim Ahmed

• Behavior Analyst in Waite Park, MN
• Providers in Waite Park, MN by specialty
• Behavior Analyst in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.