Individual
ABDIFATAH ABDULL HERSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1020 E 146TH ST STE 133, BURNSVILLE, MN 55337-6703
(952) 247-0378
Mailing address
1020 E 146TH ST STE 133, BURNSVILLE, MN 55337-6703
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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