Individual
ABDIGANI ALI IDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4911 77TH ST W APT 501, EDINA, MN 55435-4840
(763) 600-4133
(866) 635-1990
Mailing address
4911 77TH ST W APT 501, EDINA, MN 55435-4840
(763) 600-4133
(866) 635-1990
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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