Soora Khan
Behavior Technician in Saint Paul, MN. Individual provider (NPI-1).
NPI number1215744982
StatusActive
Last updated in NPPESDec 16, 2024
Details
- NPI
- 1215744982
- Entity type
- Individual (NPI-1)
- Name
- Soora Khan
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 16, 2024
- Certification date
- Dec 16, 2024
- Last updated
- Dec 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
393 Dunlap St N Ste Ll34Saint Paul, MN 55104-4202
Phone 651-644-2440
Mailing address
393 Dunlap St N Ste Ll34Saint Paul, MN 55104-4202
Phone 651-644-2440
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