OSOB ISSAK ADEN
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1215676382- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 8609 LYNDALE AVE S STE 201D, BLOOMINGTON, MN, 554202754
- Phone
- (763) 732-9476
Specialties & Taxonomies
Behavior Technician
Primary License: MN