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

Maryan Mahamoud

Individual provider Behavior Technician · NPI 1992529754

Maryan Mahamoud is a Behavior Technician in Lake Elmo, Minnesota. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

9420 4th St N
Lake Elmo, MN 55042-4537
Phone: (612) 867-5647
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 number1992529754
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 8, 2024
Last updated in NPPESNovember 8, 2024
Certification dateNovember 8, 2024
Mailing address9420 4th St N, Lake Elmo, MN 55042-4537

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