Saleh Botan

NPI #1033981642 in Fridley, Minnesota

Provider Information

NPI Number: 1033981642
Entity Type: Individual
Name: Saleh Botan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Oct 26, 2023
Last Updated: Oct 26, 2023

Practice Location

Address: 6260 HIGHWAY 65 NE STE 303
City: Fridley
State: Minnesota
ZIP Code: 55432-5150
Phone: (614) 218-3069

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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