Most Relevant Information
Provider Data
| NPI Number: | 1003599713 |
| Provider Name: | ABDULLAHI ABDULKADIR ISSA |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/09/2023 |
| Last Updated: | 08/09/2023 |
Provider Practice Location
1315 E LAKE ST
MINNEAPOLIS
MN
554071629
Practice Location Phone/Fax
| Phone: | 6122982169 |
| Fax: |
Provider Mailing Location
1315 E LAKE ST
MINNEAPOLIS
MN
554071629
Provider Mailing Phone/Fax
| Phone: | 6122982169 |
| Fax: |