Mohamed Sadad Ali
Individual provider Active NPI Behavior Technician · Edina, MN
NPI 1295521292 · NPPES record last updated Apr 16, 2025
Key facts
- NPI
- 1295521292
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 5624 Lincoln Dr
Edina, MN 55436-1606 - Phone
- (952) 395-3322
- NPI assigned
- Apr 16, 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
5624 Lincoln Dr
Edina, MN 55436-1606
Mailing address
5624 Lincoln Dr
Edina, MN 55436-1606
Phone (952) 395-3322
Other providers in Edina, MN
- James Henry Algeo Jr.
- Mohamad H. Alhomsi
- Amal Ahmed Ali
- Huda M Ali
- Mintaha Yusuf Ali
- Rakiya Ali
- Sadiya Hussein Ali
- Sagal Sadad Ali
- Samira Abdisamed Ali
- Bashar Alkabbani
All providers in Edina, 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 Apr 16, 2025. 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.