FARTUUN ALI-ISMAIL
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1659145753- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1068 122ND AVE NW, COON RAPIDS, MN, 554482175
- Phone
- (612) 636-0707
Specialties & Taxonomies
Behavior Technician
Primary