MEDICARE: HAMSO ISSACK ADEN

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
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1003761057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAMSO ISSACK ADEN

Provider Business Mailing Address
First Line	:	1003 E 24TH ST APT 3
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55404-3831
Country	:	US
Telephone Number	:	952-393-5872
Fax Number	:	612-421-1356

Provider Business Practice Location Address
First Line	:	1003 E 24TH ST APT 3
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55404-3831
Country	:	US
Telephone Number	:	952-393-5872
Fax Number	:	612-421-1356

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2026
Last Update Date	:	03/03/2026

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Directions to “ HAMSO ISSACK ADEN ” Practice Location

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