Abdifatah Ahmed Mahamoud
Behavior Technician in Minnetonka, MN. Individual provider (NPI-1).
NPI number1528811197
StatusActive
Last updated in NPPESApr 11, 2024
Details
- NPI
- 1528811197
- Entity type
- Individual (NPI-1)
- Name
- Abdifatah Ahmed Mahamoud
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 11, 2024
- Certification date
- Apr 8, 2024
- Last updated
- Apr 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
55001 Feltl RoadMinnetonka, MN 55343
Phone 952-746-0222
Mailing address
14301 Ewing Ave SBurnsville, MN 55306-4885
Phone 952-746-5350
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All 393 Behavior Technician providers in Minnetonka · All 2,873 providers in Minnetonka
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