Basheer Mohamed Anwar

Individual provider Active NPI Behavior Technician · Savage, MN

NPI 1922845940 · NPPES record last updated Jul 9, 2024

Key facts

NPI
1922845940
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
5505 W 123Rd St Ste 2000
Savage, MN 55378-5505
Phone
(612) 799-5648
Fax
(612) 429-7331
NPI assigned
Jul 9, 2024
Sex
Male
Sole proprietor
No

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 Technician 106S00000X Yes

Addresses

Primary practice location

5505 W 123Rd St Ste 2000
Savage, MN 55378-5505

Mailing address

5505 W 123Rd St Ste 2000
Savage, MN 55378-5505
Phone (612) 799-5648

Other providers in Savage, MN

All providers in Savage, MN · Behavior Technician in Minnesota

Sources for this page

Verify at the official NPI Registry.