Individual
SAMIYA ADEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, PHARMD
Contact information
Practice address
2233 UNIVERSITY AVE W, SAINT PAUL, MN 55114-1600
(205) 199-4767
Mailing address
2233 UNIVERSITY AVE W STE 150, SAINT PAUL, MN 55114-1629
(720) 519-9476
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-77007
—
106E00000X
Assistant Behavior Analyst
AB61477660
WA
183500000X
Pharmacist
PH60284830
WA
Other
Enumeration date
02/10/2010
Last updated
11/27/2024
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