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NPI Code Detail

MEDICARE: BARWAQO MUHIDIN FARAH

MEDICARE: BARWAQO MUHIDIN 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 : 1871315556
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARWAQO MUHIDIN FARAH
Provider Business Mailing Address
First Line : 2907 CLEARWATER RD STE 100
Second Line :
City : SAINT CLOUD
State : MN
Zip : 56301-6191
Country : US
Telephone Number : 320-237-6571
Fax Number :
Provider Business Practice Location Address
First Line : 226 PARK AVE S STE 200
Second Line :
City : SAINT CLOUD
State : MN
Zip : 56301-3713
Country : US
Telephone Number : 320-452-9390
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2024
Last Update Date : 02/19/2026

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Directions to “ BARWAQO MUHIDIN FARAH ” Practice Location

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