Sameh Ibrahim Abdulkader
Individual provider Active NPI Behavior Technician · Fridley, MN
NPI 1821868977 · NPPES record last updated Jan 8, 2024
Key facts
- NPI
- 1821868977
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 7205 University Ave NE
Fridley, MN 55432-3134 - Phone
- (612) 298-7636
- NPI assigned
- Jan 8, 2024
- Sex
- Female
- 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 | MN | Yes |
Addresses
Primary practice location
7205 University Ave NE
Fridley, MN 55432-3134
Mailing address
4041 Hiawatha Ave Unit 101
Minneapolis, MN 55406-3462
Phone (952) 905-6767
Other providers in Fridley, MN
- Mohamed Mohamud Abdilahi
- Sharmarke M Abdilahi
- Bahsan Abdubakar Abdille
- Dahir Sharif Abdiwahab
- Suhaib Abdulahi
- Ayan Jama Abdulkadir
- Maymuna Omar Abdulkadir
- Ruwayda Adam Abdulkadir
- Abdullahi Mohamed Abdullahi
- Ahmed Isse Abdullahi
All providers in Fridley, 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 Jan 8, 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.