Mankato Full Spectrum Aba | |
2140 Hoffman Rd Mankato MN 56001-5863 | |
(507) 351-1034 | |
Not Available |
Full Name | Mankato Full Spectrum Aba |
---|---|
Speciality | Behavior Analyst |
Location | 2140 Hoffman Rd, Mankato, Minnesota |
Authorized Official Name and Position | Anis Abdullahi (MANAGER) |
Authorized Official Contact | 5073511034 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mankato Full Spectrum Aba 2140 Hoffman Rd Mankato MN 56001-5863 Ph: (507) 351-1034 | Mankato Full Spectrum Aba 2140 Hoffman Rd Mankato MN 56001-5863 Ph: (507) 351-1034 |
NPI Number | 1356127997 |
---|---|
Provider Enumeration Date | 09/07/2023 |
Last Update Date | 12/10/2023 |
Certification Date | 12/10/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356127997 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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