Individual
AYAN A OMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1026 4TH ST SE STE 202, SAINT CLOUD, MN 56304-1371
(320) 217-8488
Mailing address
1026 4TH ST SE STE 202, SAINT CLOUD, MN 56304-1371
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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