Osman Noor Ibrahim
Behavior Technician in Lakeville, MN. Individual provider (NPI-1).
NPI number1619702628
StatusActive
Last updated in NPPESSep 9, 2024
Details
- NPI
- 1619702628
- Entity type
- Individual (NPI-1)
- Name
- Osman Noor Ibrahim
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 9, 2024
- Certification date
- Sep 8, 2024
- Last updated
- Sep 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
16345 Kenyon AveLakeville, MN 55044-8934
Phone 612-978-0431
Mailing address
16345 Kenyon AveLakeville, MN 55044-8934
Phone 612-978-0431
Other practice locations
16345 Kenyon Ave
Lakeville, MN 55044-8934
Lakeville, MN 55044-8934
Phone 612-978-0431
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All 141 Behavior Technician providers in Lakeville · All 1,079 providers in Lakeville
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