Osob Issak Aden

NPI #1215676382 in Bloomington, Minnesota

Provider Information

NPI Number: 1215676382
Entity Type: Individual
Name: Osob Issak Aden
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 27, 2022
Last Updated: May 27, 2022

Practice Location

Address: 8609 LYNDALE AVE S STE 201D
City: Bloomington
State: Minnesota
ZIP Code: 55420-2754
Phone: (763) 732-9476

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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