Entesar Adem
Behavior Technician in Golden Valley, MN. Individual provider (NPI-1).
NPI number1336021179
StatusActive
Last updated in NPPESJul 23, 2025
Details
- NPI
- 1336021179
- Entity type
- Individual (NPI-1)
- Name
- Entesar Adem
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 23, 2025
- Certification date
- Jul 23, 2025
- Last updated
- Jul 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1710 Douglas Dr N Ste 225eGolden Valley, MN 55422-4363
Phone 763-496-8869
Mailing address
12051 Norway St NwCoon Rapids, MN 55448-2243
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