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

Aswan Ismail Abdisamed I

Individual provider Behavior Technician · NPI 1780366625

Aswan Ismail Abdisamed I is a Behavior Technician in Eagan, Minnesota. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

4635 Nicols Rd # 104
Eagan, MN 55122-3337
Phone: (612) 289-6480
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 number1780366625
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 1, 2023
Last updated in NPPESAugust 1, 2023
Certification dateAugust 1, 2023

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