Nabony Merdassa
Behavior Technician in Minneapolis, MN. Individual provider (NPI-1).
NPI number1154090900
StatusActive
Last updated in NPPESSep 7, 2021
Details
- NPI
- 1154090900
- Entity type
- Individual (NPI-1)
- Name
- Nabony Merdassa
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 7, 2021
- Certification date
- Sep 7, 2021
- Last updated
- Sep 7, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2021 E Hennepin Ave Ste Ll20Minneapolis, MN 55413-2738
Phone 612-259-7711
Mailing address
2021 E Hennepin Ave Ste Ll20Minneapolis, MN 55413-2738
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 2,435 Behavior Technician providers in Minneapolis · All 27,202 providers in Minneapolis
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