Individual
AYAN AHMED MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7205 UNIVERSITY AVE NE, FRIDLEY, MN 55432-3134
(612) 298-7636
(612) 354-3801
Mailing address
11011 ANDERSON LAKES PKWY APT 100N, EDEN PRAIRIE, MN 55344-7412
(952) 457-5682
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MN
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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