Khalil Ibrahim Hassan

NPI #1912883752 in Bloomington, Minnesota

Provider Information

NPI Number: 1912883752
Entity Type: Individual
Name: Khalil Ibrahim Hassan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 15, 2025
Last Updated: Aug 15, 2025

Practice Location

Address: 8500 PILLSBURY AVE S
City: Bloomington
State: Minnesota
ZIP Code: 55420-2246
Phone: (612) 839-8409

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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