MEDICARE: HABIBA HASHI

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	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1528529237
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HABIBA HASHI

Provider Business Mailing Address
First Line	:	7133 90TH AVE N
Second Line	:
City	:	BROOKLYN PARK
State	:	MN
Zip	:	55445-3227
Country	:	US
Telephone Number	:	314-601-5744
Fax Number	:

Provider Business Practice Location Address
First Line	:	7133 90TH AVE N
Second Line	:
City	:	BROOKLYN PARK
State	:	MN
Zip	:	55445-3227
Country	:	US
Telephone Number	:	314-601-5744
Fax Number	:

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

Provider Enumeration Date	:	03/26/2019
Last Update Date	:	03/26/2019

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Directions to “ HABIBA HASHI ” Practice Location

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