Individual
AISHA ISMAIL MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2796 NOEL DR, SAINT PAUL, MN 55117-1238
(612) 601-4336
Mailing address
2796 NOEL DR, SAINT PAUL, MN 55117-1238
(612) 601-4336
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/24/2025
Last updated
12/24/2025
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