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

Shamso Mohamud Ulusow

Individual provider Behavior Technician · NPI 1063105260

Shamso Mohamud Ulusow is a Behavior Technician in Lakeville, Minnesota. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

17951 Everglade Cir
Lakeville, MN 55044-5090
Phone: (612) 607-2475
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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 number1063105260
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 1, 2023
Last updated in NPPESJune 1, 2023
Certification dateJune 1, 2023
Mailing address17951 Everglade Cir, Lakeville, MN 55044-5090

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