Individual
FAISA HUSSEIN MOHAMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14041 BURNHAVEN DR STE 150, BURNSVILLE, MN 55337-4442
(952) 500-2206
(612) 237-6566
Mailing address
15850 CHIPPENDALE AVE W APT 216, ROSEMOUNT, MN 55068-3020
(507) 319-4805
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/06/2025
Last updated
02/06/2025
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