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Mohomudwale Abdi Mohomed

Behavior Technician in Saint Paul, MN. Individual provider (NPI-1).

NPI number1891508917
StatusActive
Last updated in NPPESJan 31, 2025

Details

NPI
1891508917
Entity type
Individual (NPI-1)
Name
Mohomudwale Abdi Mohomed
Sex
Male
Sole proprietor
No
Enumeration date
Jan 31, 2025
Certification date
Jan 31, 2025
Last updated
Jan 31, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

1821 University Ave W Ste 336
Saint Paul, MN 55104-2876

Phone 612-886-4781

Mailing address

1821 University Ave W
Saint Paul, MN 55104-2801

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