Individual
AYAN A HASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5245 EDINA INDUSTRIAL BLVD, EDINA, MN 55439-2910
(612) 472-5645
(612) 886-2618
Mailing address
5245 EDINA INDUSTRIAL BLVD, EDINA, MN 55439-2910
(612) 472-5645
(612) 886-2618
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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