Individual
ABDIRISAQ ABDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4001 STINSON BLVD NE STE 314, MINNEAPOLIS, MN 55421-3424
(651) 367-9613
Mailing address
1494 JACKSON ST UNIT C, SAINT PAUL, MN 55117-3945
(651) 734-5276
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MN
Other
Enumeration date
05/04/2023
Last updated
05/04/2023
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