Mutaas Abdirizak Mohammed
Behavior Technician in Lakewood, CO. Individual provider (NPI-1).
NPI number1104739150
StatusActive
Last updated in NPPESSep 22, 2026
Details
- NPI
- 1104739150
- Entity type
- Individual (NPI-1)
- Name
- Mutaas Abdirizak Mohammed
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 22, 2026
- Certification date
- Sep 22, 2026
- Last updated
- Sep 22, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | CO | Yes |
Practice location
265 S Harlan StLakewood, CO 80226-2261
Phone 720-272-1289
Mailing address
265 S Harlan StLakewood, CO 80226-2261
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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