Individual
AISHA JAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6260 HIGHWAY 65 NE STE 303, FRIDLEY, MN 55432-5150
(612) 402-1673
Mailing address
6260 HIGHWAY 65 NE STE 303, FRIDLEY, MN 55432-5150
(612) 402-1673
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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