Individual
BISHARO MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1509 27TH AVE NE, MINNEAPOLIS, MN 55418-3034
(617) 992-1536
(651) 410-0700
Mailing address
6434 CITY WEST PKWY APT 6301, EDEN PRAIRIE, MN 55344-3295
(617) 992-1536
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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