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YAQUB ABDIQAFAR ABDISAMAD

Individual Provider (NPI-1) Active

Behavior Technician

Provider Information

NPI Number
1205634631
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
2110 SILVER BELL ROAD, EAGAN, MN, 551221024
Phone
(952) 767-4200
Fax
(952) 767-4211

Specialties & Taxonomies

Behavior Technician Primary

All Addresses

MAILING

5860 BAKER RD

MINNETONKA, MN, 553455903

(952) 767-4200

LOCATION

2110 SILVER BELL ROAD

EAGAN, MN, 551221024

(952) 767-4200