Mowafag Mohamed

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

Practice address

8416 Xerxes Ave N
Brooklyn Park, MN 55444-1469

Phone

(651) 493-5102

Fax

(651) 666-1236

NPI assigned

Apr 20, 2023

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1073200903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8416 XERXES AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554441469",
            "telephone_number": "651-493-5102",
            "fax_number": "651-666-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8416 XERXES AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554441469",
            "telephone_number": "651-493-5102",
            "fax_number": "651-666-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMED",
        "first_name": "MOWAFAG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-20",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aisha Mohamed
• Barni Mohamed
• Ikran Hussein Mohamed
• Ilhan Mohamed
• Ismahan Ali Mohamed
• Nadhra Mohamed
• Sagal Mohamed
• Samira Mohamed
• John A Momoh
• Akwen Joan Morcho, RN

• Assistant Behavior Analyst in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Assistant Behavior Analyst in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.