Most Relevant Information
Provider Data
| NPI Number: | 1003591645 |
| Provider Name: | HABSA GULET |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/20/2023 |
| Last Updated: | 06/20/2023 |
Provider Practice Location
2642 UNIVERSITY AVE W
SAINT PAUL
MN
551141032
Practice Location Phone/Fax
| Phone: | 9524654701 |
| Fax: |
Provider Mailing Location
2642 UNIVERSITY AVE W
SAINT PAUL
MN
551141032
Provider Mailing Phone/Fax
| Phone: | 9524654701 |
| Fax: |