Organization
SOUTH STAR ABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CABDI GACAL (PRESIDENT)
(651) 707-6001
Entity
Organization
Contact information
Practice address
1526 E 122ND ST, BURNSVILLE, MN 55337-6804
(651) 707-6001
Mailing address
1526 E 122ND ST, BURNSVILLE, MN 55337-6804
(651) 707-6001
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
02/09/2021
Last updated
04/15/2022
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