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

Destu Mohamed

Individual provider Behavior Technician · NPI 1669212213

Destu Mohamed is a Behavior Technician in Spring Lake Park, Minnesota. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1330 81st Ave NE
Spring Lake Park, MN 55432-2116
Phone: (612) 886-5794
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1669212213
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 30, 2024
Last updated in NPPESMay 30, 2024
Certification dateMay 30, 2024
Mailing address6844 Fremont Pl N, Brooklyn Center, MN 55430-1582

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