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Organization
AWAKEN ABA THERAPY LLC
Active
Organization
AWAKEN ABA THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDIKAFI GELLE (OWNER)
(612) 203-8746
Entity
Organization
Contact information
Practice address
6063 HUDSON RD STE 228, WOODBURY, MN 55125-4465
(612) 203-8746
Mailing address
6063 HUDSON RD STE 228, WOODBURY, MN 55125-4465
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/07/2025
Last updated
03/07/2025
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