Most Relevant Information
Provider Data
| NPI Number: | 1003687971 |
| Provider Name: | AYAN ABSHIR ISMAIL |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/10/2024 |
| Last Updated: | 01/10/2024 |
Provider Practice Location
5769 EGAN DR
SAVAGE
MN
553784917
Practice Location Phone/Fax
| Phone: | 9526881545 |
| Fax: |
Provider Mailing Location
5769 EGAN DR
SAVAGE
MN
553784917
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |