Hibakh A Omar

NPI #1225753569 in Columbia Heights, Minnesota

Provider Information

NPI Number: 1225753569
Entity Type: Individual
Name: Hibakh A Omar
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 10, 2022
Last Updated: Oct 10, 2022

Practice Location

Address: 4041 CENTRAL AVE NE
City: Columbia Heights
State: Minnesota
ZIP Code: 55421-2900
Phone: (612) 666-0667

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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