Most Relevant Information
Provider Data
| NPI Number: | 1003567884 |
| Provider Name: | SAMIRA AHMED |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/13/2022 |
| Last Updated: | 01/13/2022 |
Provider Practice Location
1500 MCANDREWS RD W STE 100
BURNSVILLE
MN
553374475
Practice Location Phone/Fax
| Phone: | 9522295349 |
| Fax: | 9622295341 |
Provider Mailing Location
1500 MCANDREWS RD W STE 100
BURNSVILLE
MN
553374475
Provider Mailing Phone/Fax
| Phone: | 9522295349 |
| Fax: | 9622295341 |