TALA SHAWKAT ALASALY
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1861305500- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 10190 BALTIMORE ST NE STE 200, BLAINE, MN, 554496045
- Phone
- (612) 400-5731
Specialties & Taxonomies
Behavior Technician
Primary