NPI 1053116293 · live from the CMS NPI Registry
Samira Abullahi Abdi
Behavior Technician in Saint Paul, MN. National Provider Identifier 1053116293, active.
NPI record
| NPI | 1053116293 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Technician 106S00000X |
| Practice location | 2233 University Ave W Ste 210, Saint Paul, MN 55114 |
| Practice phone | 651-502-2945 |
| Enumerated | February 13, 2025 |
| Last updated | June 17, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | — |
| Behavior Technician primary | 106S00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.