Most Relevant Information
Provider Data
| NPI Number: | 1003686353 |
| Provider Name: | HASSAN MOHAMED |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/08/2024 |
| Last Updated: | 01/08/2024 |
Provider Practice Location
6113 ROME CIR NW
ROCHESTER
MN
559014846
Practice Location Phone/Fax
| Phone: | 5073190981 |
| Fax: |
Provider Mailing Location
1225 20TH ST SE APT 303
ROCHESTER
MN
559046501
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |