Fardowsa A Mohamed
Behavior Technician in Columbia Heights, MN. Individual provider (NPI-1).
NPI number1164025466
StatusActive
Last updated in NPPESNov 18, 2020
Details
- NPI
- 1164025466
- Entity type
- Individual (NPI-1)
- Name
- Fardowsa A Mohamed
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 18, 2020
- Certification date
- Nov 18, 2020
- Last updated
- Nov 18, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
4041 Central Ave NeColumbia Heights, MN 55421-2900
Phone 612-666-0667
Mailing address
2631 Columbus Ave Apt 211Minneapolis, MN 55407-3726
Phone 612-806-6030
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All 95 Behavior Technician providers in Columbia Heights · All 363 providers in Columbia Heights
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