Samsam Bashir Ismail
Samsam Bashir Ismail is a Behavior Technician in Fridley, Minnesota. Licensed in Minnesota. Registered with an NPI since 2025.
- Licensed in
- MN
- In the registry since
- 2025
Practice location Address checks out
7205 University Ave NEFridley, MN 55432-3134
Phone: (612) 298-7636
Fax: (612) 354-3801
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X (MN) |
|---|
Record details
| NPI number | 1477446037 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 2, 2025 |
| Last updated in NPPES | June 2, 2025 |
| Certification date | June 2, 2025 |
| Mailing address | 1901 W 80 1/2 St Unit 416, Bloomington, MN 55431-5107 |
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