Hannan Omar Ibrahim

NPI #1871473611 in Champlin, Minnesota

Provider Information

NPI Number: 1871473611
Entity Type: Individual
Name: Hannan Omar Ibrahim
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 3, 2025
Last Updated: Sep 3, 2025

Practice Location

Address: 7133 116TH PL N
City: Champlin
State: Minnesota
ZIP Code: 55316-2879
Phone: (612) 251-2366

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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