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

Fardowsa A Mohamed

Individual provider Behavior Technician · NPI 1164025466

Fardowsa A Mohamed is a Behavior Technician in Columbia Heights, Minnesota. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

4041 Central Ave NE
Columbia Heights, MN 55421-2900
Phone: (612) 666-0667
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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 number1164025466
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 18, 2020
Last updated in NPPESNovember 18, 2020
Certification dateNovember 18, 2020
Mailing address2631 Columbus Ave Apt 211, Minneapolis, MN 55407-3726

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