Provider Demographics
NPI:1093693285
Name:YUSUF, SOWDA MUSSA
Entity type:Individual
Prefix:
First Name:SOWDA
Middle Name:MUSSA
Last Name:YUSUF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SOWDA
Other - Middle Name:M
Other - Last Name:YUSUF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1020 E 146TH ST STE 269
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55337-6708
Mailing Address - Country:US
Mailing Address - Phone:612-205-8470
Mailing Address - Fax:
Practice Address - Street 1:1020 E 146TH ST STE 269
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-6708
Practice Address - Country:US
Practice Address - Phone:612-205-8470
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician