NPI 1306657036 · live from the CMS NPI Registry
Khadija Adan
Behavior Analyst in Moorhead, MN. National Provider Identifier 1306657036, active.
NPI record
| NPI | 1306657036 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 1132 28th Ave S Ste 101a, Moorhead, MN 56560 |
| Practice phone | 612-913-8134 |
| Enumerated | January 14, 2025 |
| Last updated | January 14, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.