Individual
ABDIQANI BASHIR ABDULKADIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5624 LINCOLN DR STE 295, EDINA, MN 55436-1606
(952) 395-3322
Mailing address
5624 LINCOLN DR STE 295, EDINA, MN 55436-1606
(952) 395-3322
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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