Provider Demographics
NPI:1053174854
Name:JUNAID, MALIK
Entity type:Individual
Prefix:
First Name:MALIK
Middle Name:
Last Name:JUNAID
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 MCANDREWS RD W STE 100
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55337-4475
Mailing Address - Country:US
Mailing Address - Phone:952-229-5349
Mailing Address - Fax:
Practice Address - Street 1:1500 MCANDREWS RD W STE 100
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-4475
Practice Address - Country:US
Practice Address - Phone:952-229-5349
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician