Individual
OMAR ABDULKADIR MOHAMUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2593 HAMLINE AVE N STE B, ROSEVILLE, MN 55113-3156
(651) 363-3199
Mailing address
2593 HAMLINE AVE N STE B, ROSEVILLE, MN 55113-3156
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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