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NPI Code Detail

MEDICARE: YUSUF YUSUF

MEDICARE:   YUSUF  YUSUF
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1164259917
Entity Type Code : Individual
Provider Name (Legal Business Name) : YUSUF YUSUF
Provider Business Mailing Address
First Line : 3249 HENNEPIN AVE STE 60
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55408-3470
Country : US
Telephone Number : 952-400-7878
Fax Number :
Provider Business Practice Location Address
First Line : 2929 CHICAGO AVE APT 207
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55407-1546
Country : US
Telephone Number : 612-471-7554
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2024
Last Update Date : 09/16/2024

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Directions to “ YUSUF YUSUF ” Practice Location

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