Abdiqani Ismail Mohamed

NPI #1104717644 in St Anthony, Minnesota

Provider Information

NPI Number
1104717644
Entity Type
Individual
Name
Abdiqani Ismail Mohamed
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Jul 12, 2025
Last Updated
Jul 12, 2025

Practice Location

Address
3055 OLD HIGHWAY 8 STE LL85A
ZIP Code
55418-2598
Phone
(651) 508-5397

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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