Sadiyo Mohamed Ismail

NPI #1932964731 in Bloomington, Minnesota

Provider Information

NPI Number: 1932964731
Entity Type: Individual
Name: Sadiyo Mohamed Ismail
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 20, 2024
Last Updated: Feb 20, 2024

Practice Location

Address: 9358 ENSIGN AVE S
City: Bloomington
State: Minnesota
ZIP Code: 55438-1472
Phone: (612) 213-6729

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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