Individual
ANANI ABAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4236 PARK GLEN RD, ST LOUIS PARK, MN 55416-4758
(952) 888-7055
(612) 605-3312
Mailing address
4236 PARK GLEN RD, ST LOUIS PARK, MN 55416-4758
(952) 888-7055
(612) 605-3312
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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