Individual provider · NPI-1
Amal Abdullahi Abdulle
Behavior Technician · Eden Prairie, MN
NPI number1245195296
StatusActive
Last updated in NPPESDec 22, 2025
Details
- NPI
- 1245195296
- Entity type
- Individual (NPI-1)
- Name
- Amal Abdullahi Abdulle
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 22, 2025
- Certification date
- Dec 22, 2025
- Last updated
- Dec 22, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | MN | Yes |
Practice location
6385 Old Shady Oak Rd Ste 250Eden Prairie, MN 55344-7705
Phone 612-394-4012 · Fax 651-358-2604
Mailing address
6385 Old Shady Oak Rd Ste 250Eden Prairie, MN 55344-7705
Phone 612-394-4012 · Fax 651-358-2604
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