Individual
ABDINASIR ADAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
226 1ST AVE E STE C, SHAKOPEE, MN 55379-1441
(651) 308-5201
Mailing address
226 1ST AVE E STE C, SHAKOPEE, MN 55379-1441
(651) 308-5201
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/29/2024
Last updated
06/13/2024
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