Hodan Hassan Tarah
Behavior Technician in Minneapolis, MN. Individual provider (NPI-1).
NPI number1669153136
StatusActive
Last updated in NPPESJul 27, 2023
Details
- NPI
- 1669153136
- Entity type
- Individual (NPI-1)
- Name
- Hodan Hassan Tarah
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 27, 2023
- Certification date
- Jul 27, 2023
- Last updated
- Jul 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1817 Nicollet AveMinneapolis, MN 55403-3774
Phone 612-354-9956
Mailing address
1817 Nicollet Avenue S SteMinneapolis, MN 55403
Phone 612-354-9956
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