IndividualActive
Abdisamad Ahmed
NPI 1073307823 · Behavior Technician · Burnsville, MN
Provider details
- NPI number
- 1073307823
- 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
11972 Portland Ave
Burnsville, MN 55337-1516
Phone: (952) 658-8670
Approximate (ZIP-level) locationGet directions
Mailing address
11972 Portland Ave
Burnsville, MN 55337-1516
Registry dates
- Enumerated
- 2025-04-07
- Last updated
- 2025-04-07
- Certified
- 2025-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.