Individual
ANISO MOHAMUD FARAH SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
651 TAFT ST NE, MINNEAPOLIS, MN 55413-2814
(612) 310-0448
Mailing address
1060 122ND AVE NW, COON RAPIDS, MN 55448-2175
(701) 885-2225
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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