Provider Demographics
NPI:1578359469
Name:AHMED, YUSUF
Entity type:Individual
Prefix:
First Name:YUSUF
Middle Name:
Last Name:AHMED
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1325 AMERICAN BLVD E
Mailing Address - Street 2:SUITE 5A
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55425-1152
Mailing Address - Country:US
Mailing Address - Phone:612-401-1173
Mailing Address - Fax:952-487-2610
Practice Address - Street 1:1325 AMERICAN BLVD E
Practice Address - Street 2:SUITE 5A
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55425-1152
Practice Address - Country:US
Practice Address - Phone:612-401-1173
Practice Address - Fax:952-487-2610
Is Sole Proprietor?:No
Enumeration Date:2025-04-16
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician