IndividualActive
Yaqub Abdisamad
NPI 1205634631 · Behavior Technician · Eagan, MN
Yaqub Abdisamad is a Behavior Technician provider in Eagan, MN (NPI 1205634631).
Provider details
- NPI number
- 1205634631
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(48/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2110 Silver Bell Road
Eagan, MN 55122-1024
Phone: (952) 767-4200
Fax: (952) 767-4211
Street-level locationGet directions
Mailing address
5860 Baker Rd
Minnetonka, MN 55345-5903
Registry dates
- Enumerated
- 2025-03-03
- Last updated
- 2025-03-03
- Certified
- 2025-03-03
Frequently asked questions
- What is Yaqub Abdisamad's NPI number?
- Yaqub Abdisamad's National Provider Identifier (NPI) is 1205634631, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Yaqub Abdisamad's specialty?
- Yaqub Abdisamad is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Yaqub Abdisamad located?
- Yaqub Abdisamad's practice location on file with NPPES is 2110 Silver Bell Road, Eagan, MN 55122-1024.
- What is Yaqub Abdisamad's phone number?
- The practice phone number listed in the NPPES registry for Yaqub Abdisamad is (952) 767-4200.
- Is Yaqub Abdisamad's NPI active?
- Yes — Yaqub Abdisamad's NPI (1205634631) is active in the NPPES registry as of the last update on 2025-03-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.