# APPLIED BEHAVIOR THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770308330
- **Authorized official:** ABDIRASHID OMAR (OWNER)
- **Authorized official phone:** (612) 458-8875

## Contact information

- **Practice address:** 2738 WINNETKA AVE N STE 200E, NEW HOPE, MN 55427-2850
- **Practice address phone:** (612) 458-8875
- **Mailing address:** 2738 WINNETKA AVE N STE 200E, NEW HOPE, MN 55427-2850
- **Mailing address phone:** (612) 458-8875

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/19/2024
- **Last updated:** 11/19/2024