ABDIRAHMAN ABDINOOR
NPI 1174308308
Behavior Technician in Spring Lake Park, MN

Active since August 28, 2023PECOS Enrolled
1330 81ST AVE NE, SPRING LAKE PARK, MN 55432(612) 208-2587 Get Directions Write a Review

NPPES record last updated: November 8, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 8, 2023, Aug 28, 2023 (2 updates tracked since 2023).

About Abdirahman Abdinoor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ABDIRAHMAN ABDINOOR (NPI 1174308308) is an individual behavior technician in Spring Lake Park, Minnesota and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1174308308
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameABDIRAHMAN ABDINOOR
Location Address1330 81ST AVE NESpring Lake Park, MN 55432-2116
Mailing Address2400 W 66th St Apt 345Richfield, MN 55423-2088 · (612) 472-1234
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 28, 2023
Last NPPES UpdateNovember 8, 20232 updates tracked since enumeration
NPPES CertifiedNovember 8, 2023
NPI 1174308308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

1330 81ST AVE NE, Spring Lake Park, MN 55432

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Abdirahman Abdinoor is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264916279
PECOS Enrollment IDI20260318001203
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
1330 81ST AVE NE
SPRING LAKE PARK, MN 55432
Behavior Technician
1330 81ST AVE NE
SPRING LAKE PARK, MN 55432
Behavior Technician
1330 81ST AVE NE
SPRING LAKE PARK, MN 55432
Behavior Technician
1330 81ST AVE NE
SPRING LAKE PARK, MN 55432
Behavior Technician
1330 81ST AVE NE
SPRING LAKE PARK, MN 55432
Behavior Technician
1330 81ST AVE NE
SPRING LAKE PARK, MN 55432
Behavior Technician
1330 81ST AVE NE
SPRING LAKE PARK, MN 55432
Behavior Technician
1330 81ST AVE NE
SPRING LAKE PARK, MN 55432

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174308308, enumerated as an "individual" on August 28, 2023.

The provider is located at 1330 81ST AVE NE SPRING LAKE PARK, MN 55432 and the phone number is (612) 208-2587.

Behavior Technician with taxonomy code 106S00000X.