KHADIJA AHMED
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1376308536- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 5722 UPPER 179TH ST W UPPR 179TH, LAKEVILLE, MN, 550444931
- Phone
- (612) 978-0850
Specialties & Taxonomies
Behavior Technician
Primary License: MN