Individual
AMINO ADAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1919 BROADWAY ST NE # SUT120, MINNEAPOLIS, MN 55413-1251
(612) 323-1871
Mailing address
1919 BROADWAY ST NE # SUT120, MINNEAPOLIS, MN 55413-1251
(612) 323-1871
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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