Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst |
NPI | 1003499989 |
---|---|
Provider Name | Yasmin Aweis Mohamed |
First Address | Saint Paul, MN 55104-2892 |
Second Address | Saint Paul, MN 55104-2892 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2021 |
Last Update Date | 29/04/2021 |