Rakiya Ali

Individual provider Active NPI Behavior Technician · Edina, MN

NPI 1134728587 · NPPES record last updated Oct 17, 2020

Key facts

NPI
1134728587
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
5275 Edina Industrial Blvd Ste 230
Edina, MN 55439-2912
Phone
(952) 232-6900
Fax
(952) 960-0137
NPI assigned
Oct 17, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Horizon Therapy Center Inc Past
since Oct 25, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

5275 Edina Industrial Blvd Ste 230
Edina, MN 55439-2912

Mailing address

5275 Edina Industrial Blvd Ste 230
Edina, MN 55439-2912
Phone (952) 232-6900

Other providers in Edina, MN

All providers in Edina, MN · Behavior Technician in Minnesota

Sources for this page

Verify at the official NPI Registry.