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Organization
POWERFUL MINDS LLC
Active
Organization
POWERFUL MINDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FALASTIN ALI OMAR (OWNER)
(952) 288-8708
Entity
Organization
Contact information
Practice address
226 1ST AVE E, SHAKOPEE, MN 55379-1441
(952) 288-8708
Mailing address
9301 RIVER ROCK DR N, CHANHASSEN, MN 55317-4746
(952) 288-8708
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/21/2023
Last updated
05/23/2024
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