Individual
AHMED ISMAIL ADAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4124 QUEBEC AVE N STE 302A, NEW HOPE, MN 55427-1241
(952) 201-1479
Mailing address
4124 QUEBEC AVE N STE 302A, NEW HOPE, MN 55427-1241
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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