Genaan K Abdelall
Individual provider Active NPI Behavior Technician · St Louis Park, MN
NPI 1992303077 · NPPES record last updated Oct 12, 2020
Key facts
- NPI
- 1992303077
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 3610 France Ave S
St Louis Park, MN 55416-4735 - Phone
- (612) 469-0686
- NPI assigned
- Oct 12, 2020
- 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 | Yes |
Addresses
Primary practice location
3610 France Ave S
St Louis Park, MN 55416-4735
Mailing address
3610 France Ave S
St Louis Park, MN 55416-4735
Phone (612) 469-0686
Other providers in St Louis Park, MN
- A & a Transit LLC
- Aagesen Chiropractic Clinic PA
- Anani Abas
- Kyle Wayne Abben
- Shahir Nehad Abdel-Malek
- Fardowsa Faisal Abdi
- Hamido Abdi
- Maryam A M Abdi
- Muna Abdi
- Sharmarke Abdi
All providers in St Louis Park, 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 Oct 12, 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.