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NPI Code Detail

MEDICARE: MANA AHMED

MEDICARE: MANA 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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1366039851
Entity Type Code : Individual
Provider Name (Legal Business Name) : MANA AHMED
Provider Business Mailing Address
First Line : 1434 MARSHALL ST NE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55413-4571
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2060 CENTRE POINTE BLVD STE 3
Second Line :
City : MENDOTA HEIGHTS
State : MN
Zip : 55120-1271
Country : US
Telephone Number : 866-822-7464
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2020
Last Update Date : 12/30/2020

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Directions to “ MANA AHMED ” Practice Location

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