Provider Demographics
NPI:1841085149
Name:ABDILAHI, SUMAYA ABDI
Entity type:Individual
Prefix:
First Name:SUMAYA
Middle Name:ABDI
Last Name:ABDILAHI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 MINNEHAHA AVE APT 320
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-2224
Mailing Address - Country:US
Mailing Address - Phone:619-913-5982
Mailing Address - Fax:612-354-3801
Practice Address - Street 1:1901 MINNEHAHA AVE APT 320
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-2224
Practice Address - Country:US
Practice Address - Phone:619-913-5982
Practice Address - Fax:612-354-3801
Is Sole Proprietor?:No
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician