Individual
BAHJA BASHIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8400 XERXES AVE N, BROOKLYN PARK, MN 55444-1469
(612) 203-4555
Mailing address
8400 XERXES AVE N, BROOKLYN PARK, MN 55444-1469
(612) 203-4555
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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