Idil Ahmed Ahmed

NPI #1497434252 in Prior Lake, Minnesota

Provider Information

NPI Number: 1497434252
Entity Type: Individual
Name: Idil Ahmed Ahmed
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 17, 2023
Last Updated: Jul 17, 2023

Practice Location

Address: 4489 MARSH DR NE APT 329
City: Prior Lake
State: Minnesota
ZIP Code: 55372-2292
Phone: (612) 363-9690

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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