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Sadak Mohamed

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

NPI number1982305215
StatusActive
Last updated in NPPESMar 14, 2023

Details

NPI
1982305215
Entity type
Individual (NPI-1)
Name
Sadak Mohamed
Sex
Male
Sole proprietor
No
Enumeration date
Mar 14, 2023
Certification date
Mar 14, 2023
Last updated
Mar 14, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician–MNYes

Practice location

7835 3rd St N Ste 108
Oakdale, MN 55128-5445

Phone 651-666-1267

Mailing address

1053 Kettle Creek Rd
Eagan, MN 55123-1519

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