NPI 1104696780 · live from the CMS NPI Registry
Samira Irole Abdilahi
Behavior Analyst in Apple Valley, MN. National Provider Identifier 1104696780, active.
NPI record
| NPI | 1104696780 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 7139 158th St W, Apple Valley, MN 55124 |
| Practice phone | 612-261-5101 |
| Mailing address | 860 Blue Gentian Rd, Eagan, MN 55121 |
| Enumerated | January 4, 2024 |
| Last updated | January 4, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.