Most Relevant Information
Provider Data
| NPI Number: | 1003504176 |
| Provider Name: | FAIZA A OMAR |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/26/2023 |
| Last Updated: | 04/26/2023 |
Provider Practice Location
5196 HAMPTON ST NE
PRIOR LAKE
MN
553721370
Practice Location Phone/Fax
| Phone: | 9527372769 |
| Fax: |
Provider Mailing Location
5196 HAMPTON ST NE
PRIOR LAKE
MN
553721370
Provider Mailing Phone/Fax
| Phone: | 9527372769 |
| Fax: |