Faiza A Omar

NPI #1003504176 in Prior Lake, Minnesota

Provider Information

NPI Number: 1003504176
Entity Type: Individual
Name: Faiza A Omar
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 26, 2023
Last Updated: Apr 26, 2023

Practice Location

Address: 5196 HAMPTON ST NE
City: Prior Lake
State: Minnesota
ZIP Code: 55372-1370
Phone: (952) 737-2769

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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