Ibtisam Mohamed

NPI #1669208005 in Faribault, Minnesota

Provider Information

NPI Number: 1669208005
Entity Type: Individual
Name: Ibtisam Mohamed
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 11, 2024
Last Updated: Sep 11, 2024

Practice Location

Address: 201 LYNDALE AVE S STE L3
City: Faribault
State: Minnesota
ZIP Code: 55021-5758
Phone: (507) 339-2526

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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