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Organization
MANKATO FULL SPECTRUM ABA
Active
Organization
MANKATO FULL SPECTRUM ABA
Active
Other names
Mankato Full Spectrum ABA
Organization subpart
No
Provider details
NPI number
Authorized official
ANIS ABDULLAHI (MANAGER)
(507) 900-5501
Entity
Organization
Contact information
Practice address
1821 BASSETT DR STE 103, MANKATO, MN 56001-6223
(507) 900-5501
(507) 299-9887
Mailing address
1821 BASSETT DR STE 103, MANKATO, MN 56001-6223
(507) 351-1034
(507) 299-9887
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/07/2023
Last updated
03/23/2026
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