Individual
LIBAN AHMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
425 ETNA ST STE 36, SAINT PAUL, MN 55106-5847
(612) 601-3641
Mailing address
PO BOX 4492, SAINT PAUL, MN 55104-0492
(612) 601-3641
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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