Hanan Mohamud
Behavior Technician in Burnsville, MN. Individual provider (NPI-1).
NPI number1053979765
StatusActive
Last updated in NPPESMay 29, 2019
Details
- NPI
- 1053979765
- Entity type
- Individual (NPI-1)
- Name
- Hanan Mohamud
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 29, 2019
- Last updated
- May 29, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
14301 Ewing Ave SBurnsville, MN 55306-4885
Phone 952-746-5350
Mailing address
1509 Southcross Dr WBurnsville, MN 55306-6945
Phone 952-491-9810
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