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NPI Code Detail

MEDICARE: FARHIO ABDULLAHI HERSI

MEDICARE:   FARHIO ABDULLAHI HERSI
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 : 1649103102
Entity Type Code : Individual
Provider Name (Legal Business Name) : FARHIO ABDULLAHI HERSI
Provider Business Mailing Address
First Line : 6250 EXCELSIOR BLVD STE 102
Second Line :
City : ST LOUIS PARK
State : MN
Zip : 55416-2735
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6250 EXCELSIOR BLVD STE 102
Second Line :
City : ST LOUIS PARK
State : MN
Zip : 55416-2735
Country : US
Telephone Number : 612-703-9022
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2026
Last Update Date : 06/04/2026

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Directions to “ FARHIO ABDULLAHI HERSI ” Practice Location

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