Most Relevant Information
Provider Data
| NPI Number: | 1003649583 |
| Provider Name: | SUMAYA MOHAMED |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/21/2024 |
| Last Updated: | 08/21/2024 |
Provider Practice Location
2400 BLAISDELL AVE
MINNEAPOLIS
MN
554043331
Practice Location Phone/Fax
| Phone: | 6128959646 |
| Fax: |
Provider Mailing Location
2400 BLAISDELL AVE
MINNEAPOLIS
MN
554043331
Provider Mailing Phone/Fax
| Phone: | 6128959646 |
| Fax: |