Individual
BUKARI FARAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BEHAVIOR TECHNICIAN
Contact information
Practice address
4041 CENTRAL AVE NE, MINNEAPOLIS, MN 55421-2900
(612) 666-0667
Mailing address
4725 MINNETONKA BLVD, ST LOUIS PARK, MN 55416-5711
(507) 491-8634
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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