NPI 1740004704 · live from the CMS NPI Registry
Ashkiro Adan
Behavior Analyst in Waite Park, MN. National Provider Identifier 1740004704, active.
NPI record
| NPI | 1740004704 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 74 10th Ave S, Waite Park, MN 56387 |
| Practice phone | 612-636-5139 |
| Enumerated | November 14, 2024 |
| Last updated | November 14, 2024 |
| 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.