Provider Demographics
NPI:1336970623
Name:OSMAN, SABRIN ABDULLAHI
Entity type:Individual
Prefix:
First Name:SABRIN
Middle Name:ABDULLAHI
Last Name:OSMAN
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 1:10576 SUMTER LN
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55438-2178
Mailing Address - Country:US
Mailing Address - Phone:612-876-0478
Mailing Address - Fax:
Practice Address - Street 1:14041 BURNHAVEN DR STE 150
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-4442
Practice Address - Country:US
Practice Address - Phone:612-298-1207
Practice Address - Fax:612-237-6566
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-09
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician