IndividualActive
Abdulahi Mohamud
NPI 1063207090 · Behavior Analyst · Waite Park, MN
Provider details
- NPI number
- 1063207090
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
74 10th Ave S
Waite Park, MN 56387-1055
Phone: (612) 636-5139
Fax: (612) 465-5056
Approximate (ZIP-level) locationGet directions
Mailing address
74 10th Ave S
Waite Park, MN 56387-1055
Registry dates
- Enumerated
- 2025-04-10
- Last updated
- 2025-04-10
- Certified
- 2025-04-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.