NPI 1699453530

Samira O Abdalla

Practitioner Behavior Technician Prior Lake, MN

Practice location

Address: 14189 Ferndale Ave NE, Prior Lake, MN 55372-1210
Phone: (952) 454-3950

Registered specialties (2)

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Case Manager/Care Coordinator

Other Service Providers Taxonomy 171M00000X

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Registry record

NPI: 1699453530
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jul 2023
Record last updated: 20 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.