Most Relevant Information
Provider Data
| NPI Number: | 1003553207 |
| Provider Name: | MALYUN AHMED |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/18/2022 |
| Last Updated: | 05/18/2022 |
Provider Practice Location
201 LYNDALE AVE S STE L3
FARIBAULT
MN
550215799
Practice Location Phone/Fax
| Phone: | 6127071718 |
| Fax: |
Provider Mailing Location
201 LYNDALE AVE S STE L3
FARIBAULT
MN
550215799
Provider Mailing Phone/Fax
| Phone: | 6127071718 |
| Fax: |