Individual
AZHAR AHMOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2812 FAIRVIEW AVE N, ROSEVILLE, MN 55113-1308
(612) 345-7306
Mailing address
2101 WASHINGTON ST NE APT 30155418, MINNEAPOLIS, MN 55418-4832
(612) 289-7780
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/31/2025
Last updated
01/31/2025
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