Individual
ANISA AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5701 KENTUCKY AVE N STE 201, CRYSTAL, MN 55428-3394
(763) 568-7223
Mailing address
5701 KENTUCKY AVE N STE 201, CRYSTAL, MN 55428-3394
(763) 568-7223
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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