Individual
BASHIR BARKADLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12203 ABERDEEN ST NW, BLAINE, MN 55449
(612) 707-5235
Mailing address
12203 ABERDEEN ST NW, BLAINE, MN 55449
(612) 707-5235
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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