Most Relevant Information
Provider Data
| NPI Number: | 1003468901 |
| Provider Name: | HANAN AWEYS HASSAN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/10/2019 |
| Last Updated: | 08/27/2019 |
Provider Practice Location
8200 HUMBOLDT AVE S STE 100
BLOOMINGTON
MN
55431
Practice Location Phone/Fax
| Phone: | 9522367891 |
| Fax: | 9524264935 |
Provider Mailing Location
8200 HUMBOLDT AVE S STE 100
BLOOMINGTON
MN
554311433
Provider Mailing Phone/Fax
| Phone: | 9522367891 |
| Fax: | 9524264935 |