IndividualActive
Abdifatah Abdi
NPI 1043909500 · Behavior Technician · White Bear Lake, MN
Provider details
- NPI number
- 1043909500
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1011 Meadowlands Dr
White Bear Lake, MN 55127-2339
Phone: (612) 445-0300
Approximate (ZIP-level) locationGet directions
Mailing address
1011 Meadowlands Dr
White Bear Lake, MN 55127-2339
Registry dates
- Enumerated
- 2023-05-02
- Last updated
- 2023-05-02
- Certified
- 2023-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.