Individual provider · NPI-1

Ibrahim Ahmed

Peer Specialist · Fargo, ND

NPI number1609553619
StatusActive
Last updated in NPPESJun 30, 2023

Details

NPI
1609553619
Entity type
Individual (NPI-1)
Name
Ibrahim Ahmed
Sex
Male
Sole proprietor
No
Enumeration date
Jun 30, 2023
Certification date
Jun 30, 2023
Last updated
Jun 30, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist––Yes
106S00000X Behavior Technician––

Practice location

1323 23rd St S Ste D
Fargo, ND 58103-3759

Phone 701-781-0208

Mailing address

1323 23rd St S Ste D
Fargo, ND 58103-3759

Phone 701-781-0208

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