Individual
ANISA AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5275 EDINA INDUSTRIAL BLVD STE 230, EDINA, MN 55439-2912
(952) 232-6900
(952) 960-0137
Mailing address
5275 EDINA INDUSTRIAL BLVD STE 230, EDINA, MN 55439-2912
(952) 232-6900
(952) 960-0137
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/17/2020
Last updated
10/17/2020
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