Individual
KHALID MOHAMED ABDULLAHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1160 SUNCREST DR APT 310, SAINT CLOUD, MN 56301-0015
(612) 806-6333
Mailing address
1160 SUNCREST DR APT 310, SAINT CLOUD, MN 56301-0015
(612) 806-6333
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
03/03/2025
Last updated
10/17/2025
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