Most Relevant Information
Provider Data
| NPI Number: | 1003445321 |
| Provider Name: | AYAAN MUHAMMAD BASHI |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/07/2020 |
| Last Updated: | 04/07/2020 |
Provider Practice Location
5275 EDINA INDUSTRIAL BLVD STE 104
EDINA
MN
554392915
Practice Location Phone/Fax
| Phone: | 9522889115 |
| Fax: | 6123478717 |
Provider Mailing Location
5275 EDINA INDUSTRIAL BLVD STE 104
EDINA
MN
554392915
Provider Mailing Phone/Fax
| Phone: | 9522889115 |
| Fax: | 6123478717 |