Individual provider · NPI-1
Abdiaziz Jimale Aden
Peer Specialist · Fargo, ND
NPI number1063237469
StatusActive
Last updated in NPPESNov 20, 2024
Details
- NPI
- 1063237469
- Entity type
- Individual (NPI-1)
- Name
- Abdiaziz Jimale Aden
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 20, 2024
- Certification date
- Nov 20, 2024
- Last updated
- Nov 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
1323 23rd St S Ste DFargo, ND 58103-3759
Phone 215-207-6337
Mailing address
1323 23rd St S Ste DFargo, ND 58103-3759
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