| Powerful Minds Llc | |
|
226 1st Ave E Shakopee MN 55379-1441 | |
| (952) 288-8708 | |
| Not Available |
| Full Name | Powerful Minds Llc |
|---|---|
| Speciality | Behavior Technician |
| Location | 226 1st Ave E, Shakopee, Minnesota |
| Authorized Official Name and Position | Falastin Ali Omar (OWNER) |
| Authorized Official Contact | 9522888708 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Powerful Minds Llc 9301 River Rock Dr N Chanhassen MN 55317-4746 Ph: (952) 288-8708 | Powerful Minds Llc 226 1st Ave E Shakopee MN 55379-1441 Ph: (952) 288-8708 |
| NPI Number | 1396510053 |
|---|---|
| Provider Enumeration Date | 11/21/2023 |
| Last Update Date | 05/23/2024 |
| Certification Date | 05/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396510053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
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