NPI 1073297305

Aba Behavioral Therapy

Organisation Early Intervention Provider Agency Saint Cloud, MN

Practice location

Address: 2719 W Division St STE 107, Saint Cloud, MN 56301-3409
Phone: (202) 779-1350

Authorised official

Name: Fathi Mohamud Mohamed
Title: Ceo
Phone: (202) 779-1350

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X

Other Early Intervention Provider Agency providers in Minnesota →

Registry record

NPI: 1073297305
Entity type: Organization
NPI issued: 15 Jun 2023
Record last updated: 15 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.