Provider Demographics
NPI:1700750247
Name:HUSSEIN, OSMAN ABDULLAHI SR
Entity type:Individual
Prefix:
First Name:OSMAN
Middle Name:ABDULLAHI
Last Name:HUSSEIN
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6445 LYNDALE AVE S APT 305
Mailing Address - Street 2:
Mailing Address - City:RICHFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:55423-7560
Mailing Address - Country:US
Mailing Address - Phone:708-546-9925
Mailing Address - Fax:
Practice Address - Street 1:6445 LYNDALE AVE S APT 305
Practice Address - Street 2:
Practice Address - City:RICHFIELD
Practice Address - State:MN
Practice Address - Zip Code:55423-7560
Practice Address - Country:US
Practice Address - Phone:708-546-9925
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNGOOO180945600106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician