Individual provider Active NPI

Abdihakin Abass Osman

  • Behavior Technician
  • Minneapolis, MN
National Provider Identifier
1871273961
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
A841083281013 Issued in MN
Practice address
2930 Blaisdell Ave Apt 307
Minneapolis, MN 55408-2327
Phone
(717) 590-0604
Fax
(612) 395-3315
NPI assigned
Jul 24, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X A841083281013 MN Primary

Addresses

Primary practice location

2930 Blaisdell Ave Apt 307
Minneapolis, MN 55408-2327

Mailing address

2930 Blaisdell Ave Apt 307
Minneapolis, MN 55408-2327
Phone (717) 590-0604

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A841083281013MNMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Afia Child Services Inc CurrentSince Jul 31, 2023 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1871273961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 BLAISDELL AVE APT 307",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082327",
            "telephone_number": "717-590-0604",
            "fax_number": "612-395-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 BLAISDELL AVE APT 307",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082327",
            "telephone_number": "717-590-0604",
            "fax_number": "612-395-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSMAN",
        "first_name": "ABDIHAKIN",
        "middle_name": "ABASS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MN",
            "license": "A841083281013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.