NPI 1053108365
Fatha Mohamed
Practice location
- Address
- 74 10th Ave S, Waite Park, MN 56387-1055
- Phone
- (612) 636-5139
- Fax
- (612) 465-5056
Registered specialties
Behavior Analyst
Primary
Registry record
- NPI
- 1053108365
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 21 Apr 2025
- Record last updated
- 21 Apr 2025
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.