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Elilli Chala Yusuf

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

NPI number1366124331
StatusActive
Last updated in NPPESAug 1, 2023

Details

NPI
1366124331
Entity type
Individual (NPI-1)
Name
Elilli Chala Yusuf
Sex
Female
Sole proprietor
No
Enumeration date
Aug 1, 2023
Certification date
Aug 1, 2023
Last updated
Aug 1, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician–MNYes

Practice location

7205 University Ave Ne
Fridley, MN 55432-3134

Phone 612-298-7636

Mailing address

439 Garfield St W
Anoka, MN 55303-1042

Phone 763-334-9494

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