Abdoulkader Ali
Individual provider Active NPI Behavior Technician · West Saint Paul, MN
NPI 1023949757 · NPPES record last updated Jun 26, 2026
Key facts
- NPI
- 1023949757
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 60 Marie Ave E Ste 202
West Saint Paul, MN 55118-5950 - Phone
- (651) 315-2321
- NPI assigned
- May 29, 2026
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Amina Services L. L. C. | Early Intervention Provider Agency | Current | Accepting new patients |
Locations
60 Marie Ave E
Ste 202
West St Paul, MN 55118
Phone (651) 315-2321
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician |
106S00000X | Yes |
Addresses
Primary practice location
60 Marie Ave E Ste 202
West Saint Paul, MN 55118-5950
Mailing address
320 Blake Rd N Apt 512
Hopkins, MN 55343-8254
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z000120005200 | Other | MN | STATE ID |
Other providers in West Saint Paul, MN
- Accesspoint Dental LLC
- Achieve Life Solutions
- Advance Care Services Corporation
- Ben Oamen Akhuetie-Oni
- Hafsa Mohamed Amin
- Stephanie Anderson
- Heather Koser Baradan
- James R. Benzie
- Alexandra Nicole Bergren
All providers in West Saint Paul, MN · Behavior Technician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.