NPI 1003639584

Fatuma a Mohamed

Practitioner Behavior Technician Coon Rapids, MN

Practice location

Address: 9120 Springbrook Dr NW, Coon Rapids, MN 55433-5845
Phone: (763) 231-2590

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1003639584
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Nov 2024
Record last updated: 4 Nov 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.