Mahamoud, Roda

Mahamoud, Roda is an individual health care provider with primary practice located at 12790 Primrose Ln Apt 103 , Eden Prairie MN 55344-7632. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Mahamoud, Roda can be contacted via phone (952) 210-2674.

Contact Information

Primary practice address
12790 Primrose Ln Apt 103 Eden Prairie MN 55344-7632
Phone: (952) 210-2674
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1720686660
LBN Legal business name Mahamoud, Roda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2020
Last updated Oct 13th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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