Organization
MANKATO FULL SPECTRUM ABA
Active
Other names
Mankato Full Spectrum ABA
Organization subpart
No
Provider details
NPI number
Authorized official
ANIS ABDULLAHI (MANAGER)
(507) 900-5501
Entity
Organization
Contact information
Practice address
1821 BASSETT DR STE 103, MANKATO, MN 56001-6223
(507) 900-5501
(507) 299-9887
Mailing address
1821 BASSETT DR STE 103, MANKATO, MN 56001-6223
(507) 351-1034
(507) 299-9887
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/07/2023
Last updated
03/23/2026
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