Individual
ABDIRIZAK YAKUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6260 HIGHWAY 65 NE STE 303, FRIDLEY, MN 55432-5150
(614) 218-3069
Mailing address
2613 GARFIELD AVE APT 1, MINNEAPOLIS, MN 55408-1336
(612) 670-6164
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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