Mohammed Olow Ali

Individual provider Active NPI Behavior Technician · Saint Paul, MN

NPI 1265243992 · NPPES record last updated Jan 14, 2025

Key facts

NPI
1265243992
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1350 Energy LN # 101
Saint Paul, MN 55108-5275
Phone
(651) 313-5162
NPI assigned
Jan 14, 2025
Sex
Male
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

1350 Energy LN # 101
Saint Paul, MN 55108-5275

Mailing address

1350 Energy LN # 101
Saint Paul, MN 55108-5275
Phone (651) 313-5162

Other providers in Saint Paul, MN

All providers in Saint Paul, MN · Behavior Technician in Minnesota

Sources for this page

Verify at the official NPI Registry.