Individual
ALIYA PROMMACHAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
5251 JAMES AVE N, MINNEAPOLIS, MN 55430-3445
(952) 818-6099
(952) 818-6099
Mailing address
5251 JAMES AVE N, MINNEAPOLIS, MN 55430-3445
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/17/2026
Last updated
04/17/2026
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