Shukri Abdikadir Jama
Behavior Technician in Minneapolis, MN. Individual provider (NPI-1).
NPI number1114744729
StatusActive
Last updated in NPPESSep 24, 2024
Details
- NPI
- 1114744729
- Entity type
- Individual (NPI-1)
- Name
- Shukri Abdikadir Jama
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 24, 2024
- Certification date
- Sep 23, 2024
- Last updated
- Sep 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
3015 12th Ave SMinneapolis, MN 55407
Phone 763-398-9491
Mailing address
3015 12th Ave SMinneapolis, MN 55407
Phone 612-532-8090
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