FARDOSA AHMED
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1992412480- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 8427 KNOX AVE S, BLOOMINGTON, MN, 554311760
- Phone
- (619) 793-6154
Specialties & Taxonomies
Behavior Technician
Primary
All Addresses
MAILING
8427 KNOX AVE S
BLOOMINGTON, MN, 554311760