Individual
AYAN ABDIRAHMAN MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1315 E LAKE ST STE 1, MINNEAPOLIS, MN 55407-1629
(612) 298-2169
Mailing address
1315 E LAKE ST STE 1, MINNEAPOLIS, MN 55407-1629
(612) 298-2169
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/28/2022
Last updated
12/28/2022
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