Individual
ABDIQANI OMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6520 EDENVALE BLVD STE 112, EDEN PRAIRIE, MN 55346-2564
(612) 261-9312
Mailing address
6520 EDENVALE BLVD STE 112, EDEN PRAIRIE, MN 55346-2564
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/12/2025
Last updated
07/12/2025
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