NPI 1285486415

Faridah Mohammed Kassim

Practitioner Assistant Behavior Analyst Blaine, MN

Practice location

Address: 1114 112th Ln NE, Blaine, MN 55434-4547
Phone: (612) 644-8021

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X

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Registry record

NPI: 1285486415
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Apr 2024
Record last updated: 2 Apr 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.