Individual
MUMIN MOHAMED OMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NA
Contact information
Practice address
5100 EDINA INDUSTRIAL BLVD, EDINA, MN 55439-3000
(507) 242-6611
Mailing address
5100 EDINA INDUSTRIAL BLVD STE 230, EDINA, MN 55439-3007
(507) 242-6611
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
Other
Enumeration date
01/02/2024
Last updated
04/04/2026
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