NPI 1003416157

Ibrahim Adan Noor

Practitioner Behavior Technician Waite Park, MN

Practice location

Address: 110 2nd St S STE 202, Waite Park, MN 56387-1664
Phone: (425) 591-1935

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1003416157
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Oct 2020
Record last updated: 28 Oct 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.