Bouba Diallo

NPI #1912876582 in Anoka, Minnesota

Provider Information

NPI Number: 1912876582
Entity Type: Individual
Name: Bouba Diallo
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Nov 3, 2025
Last Updated: Nov 3, 2025

Practice Location

Address: 3401 ROUND LAKE BLVD NW
City: Anoka
State: Minnesota
ZIP Code: 55303-3315
Phone: (952) 247-3381

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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