Individual provider Active NPI

Amino Suleiman Abdirahman

  • Behavior Technician
  • Saint Cloud, MN
National Provider Identifier
1992671606
Registry record updated Oct 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
570 1St St SE
Saint Cloud, MN 56304-0800
Phone
(320) 405-7085
Fax
(320) 217-2107
NPI assigned
Oct 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 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 MN Primary

Addresses

Primary practice location

570 1St St SE
Saint Cloud, MN 56304-0800

Mailing address

570 1St St SE
Saint Cloud, MN 56304-0800
Phone (320) 405-7085

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

NPI Registry JSON

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

{
    "created_epoch": "1760140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760140800000",
    "number": "1992671606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 1ST ST SE",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563040800",
            "telephone_number": "320-405-7085",
            "fax_number": "320-217-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 1ST ST SE",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563040800",
            "telephone_number": "320-405-7085",
            "fax_number": "320-217-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDIRAHMAN",
        "first_name": "AMINO",
        "middle_name": "SULEIMAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-11",
        "last_updated": "2025-10-11",
        "certification_date": "2025-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MN",
            "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 Oct 11, 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.