Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Fardowsa Ibrahim

Individual provider Behavior Technician · NPI 1114824158

Fardowsa Ibrahim is a Behavior Technician in Saint Paul, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2026

Practice location Address checks out

411 Lexington Pkwy N
Saint Paul, MN 55104-4622
Phone: (320) 403-0870
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (MN)

Record details

NPI number1114824158
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 22, 2026
Last updated in NPPESOctober 22, 2026
Certification dateOctober 22, 2026

Other providers in Saint Paul