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NPI Code Detail

MEDICARE: ABDULLAHI MOHAMED FARAH

MEDICARE: ABDULLAHI MOHAMED FARAH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1629910716
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABDULLAHI MOHAMED FARAH
Provider Business Mailing Address
First Line : 4707 107TH AVE N
Second Line :
City : BROOKLYN PARK
State : MN
Zip : 55443-5801
Country : US
Telephone Number : 612-516-7382
Fax Number :
Provider Business Practice Location Address
First Line : 4707 107TH AVE N
Second Line :
City : BROOKLYN PARK
State : MN
Zip : 55443-5801
Country : US
Telephone Number : 612-516-7382
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2026
Last Update Date : 04/07/2026

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Directions to “ ABDULLAHI MOHAMED FARAH ” Practice Location

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