Individual
FADXI CABDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7800 METRO PKWY STE 200, MINNEAPOLIS, MN 55425-1506
(682) 553-9305
Mailing address
32 WOOD ST APT 32B, SAINT PAUL, MN 55107-2273
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/06/2025
Last updated
06/06/2025
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