Wellformed AI

NPI 1730834664 · live from the CMS NPI Registry

Fadumo Ismail Ahmed

Behavior Analyst in Minneapolis, MN. National Provider Identifier 1730834664, active.

NPI record

NPI1730834664 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location1919 Broadway St Ne Ste 120, Minneapolis, MN 55413
Practice phone651-399-7341
EnumeratedFebruary 18, 2022
Last updatedFebruary 18, 2022
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.