Provider Demographics
NPI:1043033111
Name:SAID, LATIFA LATIFA (ABA)
Entity type:Individual
Prefix:MS
First Name:LATIFA
Middle Name:LATIFA
Last Name:SAID
Suffix:
Gender:F
Credentials:ABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 HIGHWAY 13 E APT 111
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55337-4823
Mailing Address - Country:US
Mailing Address - Phone:763-516-8193
Mailing Address - Fax:
Practice Address - Street 1:3960 MINNEHAHA AVE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55406-3232
Practice Address - Country:US
Practice Address - Phone:612-986-2089
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-06
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst