Provider Demographics
NPI:1154118065
Name:ABDI, ABDINASIR
Entity type:Individual
Prefix:
First Name:ABDINASIR
Middle Name:
Last Name:ABDI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12180 COUNTY ROAD 11
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55337-3018
Mailing Address - Country:US
Mailing Address - Phone:612-227-2035
Mailing Address - Fax:
Practice Address - Street 1:12180 COUNTY ROAD 11
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-3018
Practice Address - Country:US
Practice Address - Phone:952-890-9490
Practice Address - Fax:952-890-9490
Is Sole Proprietor?:No
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician