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Abdinur Omar

Behavior Technician in Burnsville, MN. Individual provider (NPI-1).

NPI number1215744768
StatusActive
Last updated in NPPESDec 17, 2024

Details

NPI
1215744768
Entity type
Individual (NPI-1)
Name
Abdinur Omar
Sex
Male
Sole proprietor
No
Enumeration date
Dec 17, 2024
Certification date
Dec 17, 2024
Last updated
Dec 17, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

11972 Portland Ave
Burnsville, MN 55337-1516

Phone 952-658-8670

Mailing address

11972 Portland Ave
Burnsville, MN 55337-1516

Phone 952-658-8670

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