Most Relevant Information
Provider Data
| NPI Number: | 1003645862 |
| Provider Name: | MAHAMUD OMAR HUSSEIN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/30/2024 |
| Last Updated: | 07/30/2024 |
Provider Practice Location
121 HENNEPIN AVE
MINNEAPOLIS
MN
554011802
Practice Location Phone/Fax
| Phone: | 6123542424 |
| Fax: | 6122881805 |
Provider Mailing Location
121 HENNEPIN AVE
MINNEAPOLIS
MN
554011802
Provider Mailing Phone/Fax
| Phone: | 6123542424 |
| Fax: | 6122881805 |