Dienabou Mboup

NPI #1215776216 in Fridley, Minnesota

Provider Information

NPI Number: 1215776216
Entity Type: Individual
Name: Dienabou Mboup
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 21, 2024
Last Updated: May 21, 2024

Practice Location

Address: 7205 UNIVERSITY AVE NE
City: Fridley
State: Minnesota
ZIP Code: 55432-3134
Phone: (612) 208-0729

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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