Abdulkadir Ali Omar SR.

NPI #1558759647 in Edina, Minnesota

Provider Information

NPI Number: 1558759647
Entity Type: Individual
Name: Abdulkadir Ali Omar SR.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Dec 26, 2014
Last Updated: May 10, 2024

Practice Location

Address: 5100 EDINA INDUSTRIAL BLVD STE 230
City: Edina
State: Minnesota
ZIP Code: 55439-3007
Phone: (952) 666-5880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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