NPI 1073200903

Mowafag Mohamed

Practitioner Assistant Behavior Analyst Brooklyn Park, MN

Practice location

Address: 8416 Xerxes Ave N, Brooklyn Park, MN 55444-1469
Phone: (651) 493-5102
Fax: (651) 666-1236

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X

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Registry record

NPI: 1073200903
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Apr 2023
Record last updated: 20 Apr 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.