Individual
BUSHRA YUSUF MUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2021 E HENNEPIN AVE, MINNEAPOLIS, MN 55413-2700
(612) 259-7711
Mailing address
2021 E HENNEPIN AVE, MINNEAPOLIS, MN 55413-2700
(612) 259-7711
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
03/11/2022
Last updated
03/11/2022
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