Individual
ABDIKASSIM ABDIKADIR AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2147 UNIVERSITY AVE W STE 108, SAINT PAUL, MN 55114-1326
(617) 992-1536
(612) 778-8718
Mailing address
2147 UNIVERSITY AVE W STE 108, SAINT PAUL, MN 55114-1326
(617) 992-1536
(612) 778-8718
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/16/2025
Last updated
08/16/2025
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