NPI 1043097728

Warsame Mohamoud Warsame

Practitioner Behavior Technician St Louis Park, MN

Practice location

Address: 1650 West End Blvd Suite 175, St Louis Park, MN 55416
Phone: (952) 994-0909
Fax: (952) 487-3216

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1043097728
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Sep 2023
Record last updated: 14 Sep 2023

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.