Individual
YASIR MOHAMED ABDISABUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4186 LEXINGTON AVE N, SHOREVIEW, MN 55126-6106
(612) 644-8021
Mailing address
4186 LEXINGTON AVE N, SHOREVIEW, MN 55126-6106
(612) 644-8021
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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