Individual provider Active NPI

Roda Farah Abdirahman

  • Behavior Technician
  • Saint Cloud, MN
National Provider Identifier
1871384875
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
510 25TH Ave N Ste B1-119
Saint Cloud, MN 56303-3222
Phone
(320) 497-5791
NPI assigned
May 16, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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 Primary

Addresses

Primary practice location

510 25TH Ave N Ste B1-119
Saint Cloud, MN 56303-3222

Mailing address

510 25TH Ave N Ste B1-119
Saint Cloud, MN 56303-3222
Phone (320) 497-5791

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

Practice roles

OrganizationSpecialtyStatusNew patients
Indigo Foundation Inc CurrentSince May 18, 2025 Accepting new patients

Locations

510 25th Ave N
Ste B1119
Saint Cloud, MN 56303
Phone (320) 237-5636

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": "1747353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1871384875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 25TH AVE N STE B1-119",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563033222",
            "telephone_number": "320-497-5791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 25TH AVE N STE B1-119",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563033222",
            "telephone_number": "320-497-5791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDIRAHMAN",
        "first_name": "RODA",
        "middle_name": "FARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-16",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; 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.