Mohamed Farah
Behavior Technician in Blaine, MN. Individual provider (NPI-1).
NPI number1194530352
StatusActive
Last updated in NPPESFeb 12, 2025
Details
- NPI
- 1194530352
- Entity type
- Individual (NPI-1)
- Name
- Mohamed Farah
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 12, 2025
- Certification date
- Feb 12, 2025
- Last updated
- Feb 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
10157 3rd St NeBlaine, MN 55434-4500
Phone 612-369-1335
Mailing address
10157 3rd St NeBlaine, MN 55434-4500
Phone 612-369-1335
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All 80 Behavior Technician providers in Blaine · All 1,032 providers in Blaine
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