Individual
ANAS MOHAMED FARAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16171 FLAGSTAFF CT S, ROSEMOUNT, MN 55068-1277
(651) 500-1998
Mailing address
16171 FLAGSTAFF CT S, ROSEMOUNT, MN 55068-1277
(651) 500-1998
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/05/2024
Last updated
10/05/2024
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