Lelisena Abdurazak

NPI #1306527569 in Blaine, Minnesota

Provider Information

NPI Number: 1306527569
Entity Type: Individual
Name: Lelisena Abdurazak
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jul 28, 2023
Last Updated: Jul 28, 2023

Practice Location

Address: 11178 ABLE ST NE
City: Blaine
State: Minnesota
ZIP Code: 55434-5505
Phone: (195) 229-7785

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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