Individual
AISHA ADAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11972 PORTLAND AVE, BURNSVILLE, MN 55337-1516
(612) 845-1723
Mailing address
7201 WALKER ST, SAINT LOUIS PARK, MN 55426-4159
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/20/2023
Last updated
01/20/2023
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