Hodan Ahmed

Individual provider Active NPI Behavior Technician · Fridley, MN

NPI 1104608835 · NPPES record last updated Oct 17, 2023

Key facts

NPI
1104608835
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
7930 University Ave NE
Fridley, MN 55432-1860
Phone
(763) 777-8804
Fax
(763) 777-8805
NPI assigned
Oct 17, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

7930 University Ave NE
Fridley, MN 55432-1860

Mailing address

7930 University Ave NE
Fridley, MN 55432-1860
Phone (763) 777-8804

Other providers in Fridley, MN

All providers in Fridley, MN · Behavior Technician in Minnesota

Sources for this page

Verify at the official NPI Registry.