Individual
IBRAHIM AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1323 23RD ST S STE D, FARGO, ND 58103-3759
(701) 781-0208
Mailing address
1323 23RD ST S STE D, FARGO, ND 58103-3759
(701) 781-0208
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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