Most Relevant Information
Provider Data
| NPI Number: | 1003508193 |
| Provider Name: | NIMCO MAHAD |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | 106S00000X |
Most Important Dates
| Enumeration Date: | 05/25/2023 |
| Last Updated: | 05/25/2023 |
Provider Practice Location
11972 PORTLAND AVE
BURNSVILLE
MN
553371516
Practice Location Phone/Fax
| Phone: | 9522288572 |
| Fax: |
Provider Mailing Location
8632 SARATOGA LN
EDEN PRAIRIE
MN
553471613
Provider Mailing Phone/Fax
| Phone: | 9523932189 |
| Fax: |