FADUMO MAHDI AHMED
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1184578767- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1505 SOUTHCROSS DR W STE 302, BURNSVILLE, MN, 553067015
- Phone
- (612) 427-5204
Specialties & Taxonomies
Behavior Technician
Primary License: MN