Individual
AYAN ABDIRIZAK AHMED
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
6030 MAIN ST NE APT 106, FRIDLEY, MN 55432-2870
(612) 517-6030
(612) 354-3801
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MN
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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