Provider Demographics
NPI:1215719323
Name:ABDULLAHI, MUNA YASIN
Entity type:Individual
Prefix:
First Name:MUNA
Middle Name:YASIN
Last Name:ABDULLAHI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1650 WEST END BLVD
Mailing Address - Street 2:SUITE 175
Mailing Address - City:ST.LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55416
Mailing Address - Country:US
Mailing Address - Phone:952-994-0909
Mailing Address - Fax:
Practice Address - Street 1:1650 WEST END BLVD
Practice Address - Street 2:SUITE 175
Practice Address - City:ST.LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55416
Practice Address - Country:US
Practice Address - Phone:952-994-0909
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician