Individual
AIDAROOS MOHAMMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13754 FRONTIER CT STE 102, BURNSVILLE, MN 55337-6733
(952) 200-4338
Mailing address
13754 FRONTIER CT STE 102, BURNSVILLE, MN 55337-6733
(952) 200-4338
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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