Individual
BAHJA OSMAN NUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7205 UNIVERSITY AVE NE, FRIDLEY, MN 55432-3134
(612) 208-0729
(612) 354-3801
Mailing address
2901 MOUNDS VIEW BLVD, SAINT PAUL, MN 55112-0008
(763) 913-7312
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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