Aswan Ismail Abdisamed I

NPI #1780366625 in Eagan, Minnesota

Provider Information

NPI Number: 1780366625
Entity Type: Individual
Name: Aswan Ismail Abdisamed I
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 1, 2023
Last Updated: Aug 1, 2023

Practice Location

Address: 4635 NICOLS RD # 104
City: Eagan
State: Minnesota
ZIP Code: 55122-3337
Phone: (612) 289-6480

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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