| Hac Extended Inc | |
|
2021 E Hennepin Ave Ste 418b Minneapolis MN 55413-2700 | |
| (612) 757-6640 | |
| Not Available |
| Full Name | Hac Extended Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2021 E Hennepin Ave Ste 418b, Minneapolis, Minnesota |
| Authorized Official Name and Position | Koshin Ali (PRESIDENT) |
| Authorized Official Contact | 6127576640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hac Extended Inc 2021 E Hennepin Ave Ste 418b Minneapolis MN 55413-2700 Ph: (612) 757-6640 | Hac Extended Inc 2021 E Hennepin Ave Ste 418b Minneapolis MN 55413-2700 Ph: (612) 757-6640 |
| NPI Number | 1922852334 |
|---|---|
| Provider Enumeration Date | 04/12/2024 |
| Last Update Date | 04/12/2024 |
| Certification Date | 04/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922852334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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