Provider Demographics
NPI:1003438268
Name:BINJI, ABUBAKAR
Entity type:Individual
Prefix:
First Name:ABUBAKAR
Middle Name:
Last Name:BINJI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7800 METRO PKWY STE 300
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55425-1509
Mailing Address - Country:US
Mailing Address - Phone:612-562-9204
Mailing Address - Fax:612-930-0122
Practice Address - Street 1:4236 PARK GLEN RD
Practice Address - Street 2:
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55416-4758
Practice Address - Country:US
Practice Address - Phone:952-888-7055
Practice Address - Fax:612-605-3312
Is Sole Proprietor?:No
Enumeration Date:2020-05-11
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 101YP2500X
NC2647103K00000X
TX8133103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional