Provider Demographics
NPI:1851191498
Name:MOHAMED, RUWEYDA
Entity type:Individual
Prefix:
First Name:RUWEYDA
Middle Name:
Last Name:MOHAMED
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 24TH AVE NE UNIT 401
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55418-3484
Mailing Address - Country:US
Mailing Address - Phone:612-806-8465
Mailing Address - Fax:
Practice Address - Street 1:13755 NICOLLET AVE STE 104
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-4045
Practice Address - Country:US
Practice Address - Phone:952-698-0750
Practice Address - Fax:952-241-1523
Is Sole Proprietor?:No
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst