Individual
AYAN A HAGA I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8200 HUMBOLDT AVE S STE 100, BLOOMINGTON, MN 55431-1433
(952) 236-7891
(952) 426-4935
Mailing address
8200 HUMBOLDT AVE S STE 100, BLOOMINGTON, MN 55431-1433
(952) 236-7891
(952) 426-4935
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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