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NPI Code Detail

MEDICARE: HARUN AHMED

MEDICARE: HARUN AHMED
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 : 1093676256
Entity Type Code : Individual
Provider Name (Legal Business Name) : HARUN AHMED
Provider Business Mailing Address
First Line : 5725 SYCAMORE LN N
Second Line :
City : PLYMOUTH
State : MN
Zip : 55442-1420
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1913 BROADWAY ST NE # 100
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55413-2627
Country : US
Telephone Number : 763-353-0763
Fax Number : 763-353-0763
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2025
Last Update Date : 11/18/2025

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Directions to “ HARUN AHMED ” Practice Location

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