Individual
AISHA MAHAD FAQID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14041 BURNHAVEN DR STE 150, BURNSVILLE, MN 55337-4442
(612) 298-1267
Mailing address
201 W BURNSVILLE PKWY STE 130H, BURNSVILLE, MN 55337-2527
(952) 500-2206
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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