| Applied Behavioral Therapy Center Llc | |
|
2006 Portland Ave Apt 356 Minneapolis MN 55404-2884 | |
| (612) 518-8176 | |
| Not Available |
| Full Name | Applied Behavioral Therapy Center Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 2006 Portland Ave Apt 356, Minneapolis, Minnesota |
| Authorized Official Name and Position | Sharmarke Alrisak Elmi (OWNER) |
| Authorized Official Contact | 6125188176 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Applied Behavioral Therapy Center Llc 2006 Portland Ave Apt 356 Minneapolis MN 55404-2884 Ph: () - | Applied Behavioral Therapy Center Llc 2006 Portland Ave Apt 356 Minneapolis MN 55404-2884 Ph: (612) 518-8176 |
| NPI Number | 1144817255 |
|---|---|
| Provider Enumeration Date | 12/22/2020 |
| Last Update Date | 12/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144817255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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