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ABIJAH'S ON THE BACKSIDE
NPI 1245099837
Community/Behavioral Health in Shakopee, MN

Active since March 15, 2024
1100 CANTERBURY RD S, SHAKOPEE, MN 55379(715) 379-1370 Get Directions Write a Review

NPPES record last updated: March 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Abijah's On The Backside NPPES

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

ABIJAH'S ON THE BACKSIDE (NPI 1245099837) is a healthcare organization registered as a community/behavioral health in Shakopee, Minnesota and active in the NPI registry since March 2024. The organization lists Sally Mixon, Founder / Ceo, as its authorized official.

NPPES Registry Identity

NPI1245099837
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameABIJAH'S ON THE BACKSIDE
Location Address1100 CANTERBURY RD SShakopee, MN 55379-1867
Mailing AddressPo Box 583Shakopee, MN 55379-0583
Phone(715) 379-1370
Organization SubpartNo
Authorized OfficialSally MixonFounder / Ceo · (715) 379-1370
Enumeration DateMarch 15, 2024
NPPES CertifiedMarch 15, 2024
✔ NPI 1245099837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1100 CANTERBURY RD S, Shakopee, MN 55379
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Abijah's On The Backside's NPI number?

The NPI number for Abijah's On The Backside is 1245099837. It was assigned to this organization in the NPPES registry on March 15, 2024.

Where is Abijah's On The Backside located?

Abijah's On The Backside is located at 1100 Canterbury Rd S, Shakopee, MN 55379. The listed phone number is (715) 379-1370.

What is Abijah's On The Backside's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Abijah's On The Backside was last updated on March 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.