Hibaq Issa

NPI #1013778885 in Roseville, Minnesota

Provider Information

NPI Number: 1013778885
Entity Type: Individual
Name: Hibaq Issa
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jan 19, 2024
Last Updated: Jan 19, 2024

Practice Location

Address: 2361 HIGHWAY 36 W STE 200
City: Roseville
State: Minnesota
ZIP Code: 55113-3909
Phone: (952) 994-0909

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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