Fadumo Mohamed Mohamed

NPI #1730869546 in Rosemount, Minnesota

Provider Information

NPI Number: 1730869546
Entity Type: Individual
Name: Fadumo Mohamed Mohamed
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 18, 2023
Last Updated: Jul 18, 2023

Practice Location

Address: 13841 APOLLO AVE
City: Rosemount
State: Minnesota
ZIP Code: 55068-2172
Phone: (612) 242-0517

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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