Provider Demographics
NPI:1205578648
Name:GULED, ADNAN ABDIRAHMAN
Entity type:Individual
Prefix:
First Name:ADNAN
Middle Name:ABDIRAHMAN
Last Name:GULED
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 1ST ST N STE 402A
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56303-1903
Mailing Address - Country:US
Mailing Address - Phone:612-806-9954
Mailing Address - Fax:
Practice Address - Street 1:3400 1ST ST N STE 402A
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56303-1903
Practice Address - Country:US
Practice Address - Phone:612-806-9954
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-07
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst