NPI 1003412099

Idil Mohamed Hirsi

Practitioner Behavior Technician Woodbury, MN

Practice location

Address: 9806 Glacial Valley Alcove, Woodbury, MN 55129-2607
Phone: (651) 443-7265

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1003412099
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Dec 2020
Record last updated: 7 Dec 2020

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.