Fardowsa Mohamud Ismail
Fardowsa Mohamud Ismail is a Behavior Analyst in Eagan, Minnesota. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
3035 Eagandale Pl # 2103055Eagan, MN 55121-1261
Phone: (612) 259-7715
Fax: (612) 259-7889
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Specialties & licences
| Behavior Analyst (primary) | Taxonomy 103K00000X |
|---|
Record details
| NPI number | 1699393371 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 9, 2020 |
| Last updated in NPPES | July 9, 2020 |
| Certification date | July 9, 2020 |
| Mailing address | 3035 Eagandale Pl # 2103055, Eagan, MN 55121-1261 |
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