Yakub Mire
Behavior Technician in Minneapolis, MN. Individual provider (NPI-1).
NPI number1619705050
StatusActive
Last updated in NPPESJul 25, 2024
Details
- NPI
- 1619705050
- Entity type
- Individual (NPI-1)
- Name
- Yakub Mire
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 25, 2024
- Certification date
- Jul 25, 2024
- Last updated
- Jul 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2400 Park Ave Ste 100Minneapolis, MN 55404-3713
Phone 612-642-2666
Mailing address
2400 Park Ave Ste 100Minneapolis, MN 55404-3713
Phone 612-642-2666
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