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Deko Awil Abdalla

Behavior Technician in Saint Paul, MN. Individual provider (NPI-1).

NPI number1487540944
StatusActive
Last updated in NPPESJun 12, 2025

Details

NPI
1487540944
Entity type
Individual (NPI-1)
Name
Deko Awil Abdalla
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 12, 2025
Certification date
Jun 12, 2025
Last updated
Jun 12, 2025

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 codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

497 Humboldt Ave
Saint Paul, MN 55107-2866

Phone 612-423-0012

Mailing address

497 Humboldt Ave
Saint Paul, MN 55107-2866

Phone 612-423-0012

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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.

Other Behavior Technician providers in Saint Paul, MN

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