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

Fardowsa Ali Mohamed

Individual provider Behavior Technician · NPI 1386437051

Fardowsa Ali Mohamed is a Behavior Technician in Shakopee, Minnesota. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

4201 Dean Lakes Blvd Ste 160
Shakopee, MN 55379-2863
Phone: (612) 509-6681
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 number1386437051
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 27, 2025
Last updated in NPPESMay 27, 2025
Certification dateMay 27, 2025
Mailing address4830 Woodland Ave, Shakopee, MN 55379-5805

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