| Mankato Full Spectrum Aba | |
|
2140 Hoffman Rd Mankato MN 56001-5863 | |
| (507) 351-1034 | |
| Not Available |
| Full Name | Mankato Full Spectrum Aba |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2140 Hoffman Rd, Mankato, Minnesota |
| Authorized Official Name and Position | Anis Abdullahi (MANAGER) |
| Authorized Official Contact | 5073511034 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mankato Full Spectrum Aba 2140 Hoffman Rd Mankato MN 56001-5863 Ph: (507) 351-1034 | Mankato Full Spectrum Aba 2140 Hoffman Rd Mankato MN 56001-5863 Ph: (507) 351-1034 |
| NPI Number | 1356127997 |
|---|---|
| Provider Enumeration Date | 09/07/2023 |
| Last Update Date | 12/10/2023 |
| Certification Date | 12/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356127997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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