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

Fardowsa A Farah

Individual provider Behavior Technician · NPI 1063107563

Fardowsa A Farah is a Behavior Technician in Saint Anthony, Minnesota. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

3055 Old Highway 8
Saint Anthony, MN 55418-2500
Phone: (612) 345-7659
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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 number1063107563
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 10, 2023
Last updated in NPPESApril 10, 2023
Certification dateApril 10, 2023
Mailing address3400 Minnehaha Ave, Minneapolis, MN 55406-2625

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