Azhar Ahmod

NPI #1013720143 in Roseville, Minnesota

Provider Information

NPI Number: 1013720143
Entity Type: Individual
Name: Azhar Ahmod
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 31, 2025
Last Updated: Jan 31, 2025

Practice Location

Address: 2812 FAIRVIEW AVE N
City: Roseville
State: Minnesota
ZIP Code: 55113-1308
Phone: (612) 345-7306

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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