Individual
ABDIYA MOHAMED ISMAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1821 UNIVERSITY AVE W STE 169, SAINT PAUL, MN 55104-2803
(612) 442-0073
Mailing address
6157 134TH ST W, APPLE VALLEY, MN 55124-8108
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MN
Other
Enumeration date
10/13/2025
Last updated
10/24/2025
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