Samira O. Abdalla

Behavior Technician · Prior Lake, MN

Individual Active NPI

NPI number 1699453530

Practice location

14189 Ferndale Ave NE
Prior Lake, MN 55372-1210
Phone
(952) 454-3950

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NPI record

NPI
1699453530
Entity type
Individual (Type 1)
Enumeration date
July 10, 2023
Last updated
September 20, 2024
Certified
September 20, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —
Case Manager/Care Coordinator 171M00000X — —

Other practice locations (1)

  • 1511 Dublin Ct, Shakopee, MN 55379-4439 · (952) 454-3950

About Samira Abdalla

Samira O. Abdalla is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 14189 Ferndale Ave NE, Prior Lake, MN 55372-1210. The NPI number 1699453530 was assigned on July 10, 2023 and the record was last updated on September 20, 2024.

Frequently asked questions

What is the NPI number of Samira O. Abdalla?

The NPI number is 1699453530.

What is the phone number of Samira Abdalla?

The phone number listed for the practice location is (952) 454-3950.

Where is Samira Abdalla located?

14189 Ferndale Ave NE, Prior Lake, MN 55372-1210.

What is the taxonomy code for Samira Abdalla?

The primary taxonomy code is 106S00000X – Behavior Technician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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