Anani Abas
Individual provider Active NPI Behavior Analyst · St Louis Park, MN
NPI 1982203790 · NPPES record last updated Oct 22, 2020
Key facts
- NPI
- 1982203790
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 4236 Park Glen Rd
St Louis Park, MN 55416-4758 - Phone
- (952) 888-7055
- Fax
- (612) 605-3312
- NPI assigned
- Oct 22, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iska Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
4236 Park Glen Rd
St Louis Park, MN 55416-4758
Mailing address
4236 Park Glen Rd
St Louis Park, MN 55416-4758
Phone (952) 888-7055
Other providers in St Louis Park, MN
- A & a Transit LLC
- Aagesen Chiropractic Clinic PA
- Kyle Wayne Abben
- Shahir Nehad Abdel-Malek
- Genaan K Abdelall
- Fardowsa Faisal Abdi
- Hamido Abdi
All providers in St Louis Park, MN · Behavior Analyst 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 22, 2020. 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.