Jihal Ahmed Abdushukur

Individual provider Active NPI Behavior Analyst · Brooklyn Center, MN

NPI 1831894609 · NPPES record last updated Apr 3, 2023

Key facts

NPI
1831894609
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
5701 Shingle Creek Pkwy Ste 661
Brooklyn Center, MN 55430-2486
Phone
(952) 303-5803
NPI assigned
Apr 3, 2023
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Comfort Therapeutic Services LLC Current
since Apr 9, 2023
Accepting new patients

Locations

5701 Shingle Creek Pkwy
Ste 661
Minneapolis, MN 55430
Phone (612) 402-0852

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Yes

Addresses

Primary practice location

5701 Shingle Creek Pkwy Ste 661
Brooklyn Center, MN 55430-2486

Mailing address

5701 Shingle Creek Pkwy Ste 661
Brooklyn Center, MN 55430-2486
Phone (952) 303-5803

Other providers in Brooklyn Center, MN

All providers in Brooklyn Center, MN · Behavior Analyst in Minnesota

Sources for this page

Verify at the official NPI Registry.