NPI 1013725506

Michael a Sobboh

Practitioner Behavior Technician Minnetonka, MN

Practice location

Address: 5501 Feltl Rd, Minnetonka, MN 55343-3944
Phone: (952) 746-5343
Mailing address: 14301 Ewing Ave S, Burnsville, MN 55306-4885

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1013725506
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Dec 2024
Record last updated: 30 Dec 2024

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.