Mohamed Abdirisaq
Behavior Technician in Minneapolis, MN. Individual provider (NPI-1).
NPI number1831836071
StatusActive
Last updated in NPPESMay 18, 2022
Details
- NPI
- 1831836071
- Entity type
- Individual (NPI-1)
- Name
- Mohamed Abdirisaq
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 18, 2022
- Certification date
- May 18, 2022
- Last updated
- May 18, 2022
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
4301 4th Ave SMinneapolis, MN 55409-2115
Phone 952-855-2363
Mailing address
4301 4th Ave SMinneapolis, MN 55409-2115
Phone 952-855-2363
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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