Kos Adam

Individual provider Active NPI Behavior Analyst · Minneapolis, MN

NPI 1669184792 · NPPES record last updated Dec 20, 2022

Key facts

NPI
1669184792
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
1007 W Broadway Ave Ste 200
Minneapolis, MN 55411-2503
Phone
(651) 300-5333
NPI assigned
Dec 20, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Yes

Addresses

Primary practice location

1007 W Broadway Ave Ste 200
Minneapolis, MN 55411-2503

Mailing address

1007 W Broadway Ave Ste 200
Minneapolis, MN 55411-2503
Phone (651) 300-5333

Other providers in Minneapolis, MN

All providers in Minneapolis, MN · Behavior Analyst in Minnesota

Sources for this page

Verify at the official NPI Registry.