Khadra Ibrahim
NPI #1750163838 in New Brighton, Minnesota
Provider Information
- NPI Number
- 1750163838
- Entity Type
- Individual
- Name
- Khadra Ibrahim
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Oct 16, 2023
- Last Updated
- Oct 16, 2023
Practice Location
- Address
- 2025 28TH AVE NW
- City
- New Brighton
- State
- Minnesota
- ZIP Code
- 55112-5366
- Phone
- (612) 836-7788
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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