Individual
AYAN ABDULAHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4635 NICOLS RD, EAGAN, MN 55122-5512
(952) 456-1639
Mailing address
4635 NICOLS RD, EAGAN, MN 55122
(952) 456-1639
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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