Individual
FARDOWSA FAISAL NUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1526 E 122ND ST, BURNSVILLE, MN 55337-6804
(952) 426-0171
Mailing address
1526 E 122ND ST, BURNSVILLE, MN 55337-6804
(952) 426-0171
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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