Abdifatah Yasin Abdi
Individual provider Active NPI Behavior Technician · Edina, MN
NPI 1760107965 · NPPES record last updated Oct 10, 2022
Key facts
- NPI
- 1760107965
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 5245 Edina Industrial Blvd
Edina, MN 55439-2910 - Phone
- (612) 472-5645
- Fax
- (612) 886-2618
- NPI assigned
- Oct 10, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
5245 Edina Industrial Blvd
Edina, MN 55439-2910
Mailing address
5245 Edina Industrial Blvd
Edina, MN 55439-2910
Phone (612) 472-5645
Other providers in Edina, MN
- A&I Healthcare Solutions LLC
- Aaa Home Care Services, Inc
- Aaraha LLC
- Jeffrey Allan Aasen
- Abadir Irshad Abdi
- Fatima Abdi
- Fowzaya Ali Abdi
- Suleiman Mohamed Abdi
- Sunaya Uluhae Abdi
- Yonis Ali Abdi Sr.
All providers in Edina, 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 Oct 10, 2022. 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.