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NPI Code Detail

MEDICARE: YAQUB MOHAMED

MEDICARE: YAQUB MOHAMED
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 : 1669249801
Entity Type Code : Individual
Provider Name (Legal Business Name) : YAQUB MOHAMED
Provider Business Mailing Address
First Line : 4764 HARR CT
Second Line :
City : COLUMBUS
State : OH
Zip : 43231-5926
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4764 HARR CT
Second Line :
City : COLUMBUS
State : OH
Zip : 43231-5926
Country : US
Telephone Number : 614-599-0571
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2023
Last Update Date : 10/25/2024

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Directions to “ YAQUB MOHAMED ” Practice Location

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