NPI 1104650084 · live from the CMS NPI Registry
Sara Abdi, Practitioner
Behavior Technician in Minneapolis, MN. National Provider Identifier 1104650084, active.
NPI record
| NPI | 1104650084 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Technician 106S00000X |
| Practice location | 931 20th Ave Ne, Minneapolis, MN 55418 |
| Practice phone | 763-324-8284 |
| Mailing address | 349 Orendorff Way Ne, Columbia Heights, MN 55421 |
| Enumerated | August 31, 2024 |
| Last updated | April 21, 2025 |
| Sole proprietor | No |
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.