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Ifrah A Jire

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

NPI number1962279620
StatusActive
Last updated in NPPESDec 4, 2023

Details

NPI
1962279620
Entity type
Individual (NPI-1)
Name
Ifrah A Jire
Sex
Female
Sole proprietor
No
Enumeration date
Dec 4, 2023
Certification date
Dec 4, 2023
Last updated
Dec 4, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

9120 Springbrook Dr Nw
Coon Rapids, MN 55433-5845

Phone 763-231-2590

Mailing address

2390 Mounds View Blvd Apt 110
Saint Paul, MN 55112-0031

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