Individual
ABDIAZIZ AHMED MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 RIVER RIDGE CT STE 1, BURNSVILLE, MN 55337-1613
(952) 600-7166
(952) 666-5054
Mailing address
100 RIVER RIDGE CT STE 1, BURNSVILLE, MN 55337-1613
(952) 600-7166
(952) 666-5054
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MN
Other
Enumeration date
01/26/2026
Last updated
01/26/2026
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