Most Relevant Information
Provider Data
| NPI Number: | 1003588930 |
| Provider Name: | DEKA ABDI |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/29/2021 |
| Last Updated: | 09/29/2021 |
Provider Practice Location
2614 NICOLLET AVE STE 209
MINNEAPOLIS
MN
554081628
Practice Location Phone/Fax
| Phone: | 6123543995 |
| Fax: | 6123543996 |
Provider Mailing Location
2614 NICOLLET AVE STE 209
MINNEAPOLIS
MN
554081628
Provider Mailing Phone/Fax
| Phone: | 6123543995 |
| Fax: | 6123543996 |