Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Abdirahman Abdinoor

Individual provider Behavior Technician · NPI 1174308308

Abdirahman Abdinoor is an Undefined Non-Physician Type (Specify) in Spring Lake Park, Minnesota. Qualified in 2011, 15 years ago. Practices as a sole proprietor.

Years since qualifying
15
In the registry since
2023

Practice location Address checks out

1330 81st Ave NE
Spring Lake Park, MN 55432-2116
Phone: (612) 208-2587
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1174308308
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 28, 2023
Last updated in NPPESNovember 8, 2023
Certification dateNovember 8, 2023
Mailing address2400 W 66th St Apt 345, Richfield, MN 55423-2088

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUNDEFINED NON-PHYSICIAN TYPE (SPECIFY)
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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