Ali Isse Mohamed

NPI #1437968708 in Shoreview, Minnesota

Provider Information

NPI Number: 1437968708
Entity Type: Individual
Name: Ali Isse Mohamed
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 2, 2025
Last Updated: Jan 2, 2025

Practice Location

Address: 4186 LEXINGTON AVE N
City: Shoreview
State: Minnesota
ZIP Code: 55126
Phone: (612) 644-8021

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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