Hodo Farah

Individual provider Active NPI Behavior Technician · Moorhead, MN

NPI 1124827100 · NPPES record last updated Mar 11, 2025

Key facts

NPI
1124827100
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1132 28TH Ave S Ste 101a
Moorhead, MN 56560-4420
Phone
(612) 443-9032
NPI assigned
Mar 11, 2025
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Wise Wellness Center LLC Current
since Mar 20, 2025
Accepting new patients

Locations

1132 28th Ave S
Ste 101A
Moorhead, MN 56560
Phone (612) 443-9032

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

1132 28TH Ave S Ste 101a
Moorhead, MN 56560-4420

Mailing address

1132 28TH Ave S Ste 101a
Moorhead, MN 56560-4420

Other providers in Moorhead, MN

All providers in Moorhead, MN · Behavior Technician in Minnesota

Sources for this page

Verify at the official NPI Registry.