MEDICARE: HUSSEIN NOOR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106E00000X	Assistant Behavior Analyst

General Provider Information

NPI Number	:	1154210680
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HUSSEIN NOOR

Provider Business Mailing Address
First Line	:	1729 N 2ND ST STE 204
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55411-3448
Country	:	US
Telephone Number	:	612-403-0358
Fax Number	:

Provider Business Practice Location Address
First Line	:	1729 N 2ND ST STE 204
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55411-3448
Country	:	US
Telephone Number	:	612-403-0358
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2025
Last Update Date	:	06/30/2025

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Directions to “ HUSSEIN NOOR ” Practice Location

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