Abigia Samson Tadesse

NPI #1033954979 in Shakopee, Minnesota

Provider Information

NPI Number: 1033954979
Entity Type: Individual
Name: Abigia Samson Tadesse
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 1, 2024
Last Updated: Jul 1, 2024

Practice Location

Address: 4201 DEAN LAKES BLVD STE 160
City: Shakopee
State: Minnesota
ZIP Code: 55379-2863
Phone: (612) 509-6681

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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