KHATAB O ABDULKADIR
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1528657335- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1410 ENERGY PARK DR STE 11, SAINT PAUL, MN, 551085249
- Phone
- (161) 298-6392
Specialties & Taxonomies
Behavior Technician
Primary