Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Abdiqani Ismail Mohamed

Individual provider Behavior Technician · NPI 1104717644

Abdiqani Ismail Mohamed is a Behavior Technician in St Anthony, Minnesota. Licensed in Minnesota. Registered with an NPI since 2025.

Licensed in
MN
In the registry since
2025

Practice location Address checks out

3055 Old Highway 8 Ste LL85A
St Anthony, MN 55418-2598
Phone: (651) 508-5397
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (MN)

Record details

NPI number1104717644
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 12, 2025
Last updated in NPPESJuly 12, 2025
Certification dateJuly 12, 2025

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