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

Fardosa Mohamed

Individual provider Behavior Technician · NPI 1164268579

Fardosa Mohamed is a Behavior Technician in Minneapolis, Minnesota. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1518 E Lake St Ste 203
Minneapolis, MN 55407-1948
Phone: (952) 486-1049
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1164268579
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 4, 2024
Last updated in NPPESJuly 4, 2024
Certification dateJuly 4, 2024
Mailing address12300 Marion Ln W Apt 2218, Minnetonka, MN 55305-1318

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