Most Relevant Information
Provider Data
| NPI Number: | 1003541822 |
| Provider Name: | FATHIA ABDIRAHMAN HASSAN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/18/2022 |
| Last Updated: | 07/18/2022 |
Provider Practice Location
2021 E HENNEPIN AVE STE LL20
MINNEAPOLIS
MN
554132738
Practice Location Phone/Fax
| Phone: | 6122597711 |
| Fax: |
Provider Mailing Location
2021 E HENNEPIN AVE STE LL20
MINNEAPOLIS
MN
554132738
Provider Mailing Phone/Fax
| Phone: | 6122597711 |
| Fax: |