Individual
AYUB AHMED MOHAMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5775 WAYZATA BLVD STE 700, ST LOUIS PARK, MN 55416-1233
(763) 312-1878
Mailing address
5775 WAYZATA BLVD STE 700, ST LOUIS PARK, MN 55416-1233
(763) 312-1878
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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