NPI 1003504176

Faiza a Omar

Practitioner Behavior Technician Prior Lake, MN

Practice location

Address: 5196 Hampton St NE, Prior Lake, MN 55372-1370
Phone: (952) 737-2769

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1003504176
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Apr 2023
Record last updated: 26 Apr 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.