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Hamze Osman Isse

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

NPI number1245097641
StatusActive
Last updated in NPPESMar 1, 2024

Details

NPI
1245097641
Entity type
Individual (NPI-1)
Name
Hamze Osman Isse
Sex
Male
Sole proprietor
No
Enumeration date
Mar 1, 2024
Certification date
Mar 1, 2024
Last updated
Mar 1, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

5722 Upper 179th St W Uppr 179th
Lakeville, MN 55044-4931

Phone 612-978-0850

Mailing address

5722 Upper 179th St W Uppr 179th
Lakeville, MN 55044-4931

Phone 612-978-0850

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