Individual
AYAN ALI AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1919 BROADWAY ST NE STE 120, MINNEAPOLIS, MN 55413-1253
(612) 814-1117
Mailing address
1919 BROADWAY ST NE STE 120, MINNEAPOLIS, MN 55413-1253
(612) 814-1117
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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