Most Relevant Information
Provider Data
| NPI Number: | 1003696881 |
| Provider Name: | SAHRA KASSIM |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/29/2023 |
| Last Updated: | 09/29/2023 |
Provider Practice Location
1821 UNIVERSITY AVE W STE 181
SAINT PAUL
MN
551042879
Practice Location Phone/Fax
| Phone: | 1612259771 |
| Fax: | 6122597889 |
Provider Mailing Location
1821 UNIVERSITY AVE W STE 181
SAINT PAUL
MN
551042879
Provider Mailing Phone/Fax
| Phone: | 1612259771 |
| Fax: | 6122597889 |