Individual
ANISA MUBAREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2208 E 117TH ST, BURNSVILLE, MN 55337-1265
(952) 236-7880
Mailing address
2208 E 117TH ST, BURNSVILLE, MN 55337-1265
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/26/2026
Last updated
03/26/2026
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