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Organization
APPLIED BEHAVIOR THERAPY
Active
Organization
APPLIED BEHAVIOR THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDIRASHID OMAR (OWNER)
(612) 458-8875
Entity
Organization
Contact information
Practice address
2738 WINNETKA AVE N STE 200E, NEW HOPE, MN 55427-2850
(612) 458-8875
Mailing address
2738 WINNETKA AVE N STE 200E, NEW HOPE, MN 55427-2850
(612) 458-8875
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NULL
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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