Individual
ABDULFATAH MOHAMED AHMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4008 MINNEHAHA AVE, MINNEAPOLIS, MN 55406-3306
(612) 387-6968
(612) 213-1206
Mailing address
4008 MINNEHAHA AVE, MINNEAPOLIS, MN 55406-3306
(612) 387-6968
(612) 213-1206
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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