Ilyas Abdinasir Mohamed
Ilyas Abdinasir Mohamed is a Behavior Technician in Saint Anthony, Minnesota. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
3055 Old Highway 8 Ste 190Saint Anthony, MN 55418-2595
Phone: (612) 345-7659
Fax: (612) 605-6300
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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 number | 1104703321 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 19, 2025 |
| Last updated in NPPES | August 19, 2025 |
| Certification date | August 19, 2025 |
| Mailing address | 3055 Old Highway 8 Ste 190, Saint Anthony, MN 55418-2595 |
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3055 Old Highway 8 Ste 190, Saint Anthony, MN 55418-2595 · (612) 345-7659