Fadumo Mohamed Mohamud

NPI #1730048109 in Saint Louis Park, Minnesota

Provider Information

NPI Number: 1730048109
Entity Type: Individual
Name: Fadumo Mohamed Mohamud
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 20, 2026
Last Updated: Jan 20, 2026

Practice Location

Address: 6027 W 37TH ST APT 118
City: Saint Louis Park
State: Minnesota
ZIP Code: 55416-2406
Phone: (952) 262-9755

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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