Hani Mohamed Ali
Individual provider Active NPI Behavior Technician · Shakopee, MN
NPI 1316620610 · NPPES record last updated Oct 11, 2023
Key facts
- NPI
- 1316620610
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 4201 Dean Lakes Blvd Ste B
Shakopee, MN 55379-2829 - Phone
- (612) 509-6681
- NPI assigned
- Aug 11, 2023
- Sex
- Female
- 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
4201 Dean Lakes Blvd Ste B
Shakopee, MN 55379-2829
Mailing address
4201 Dean Lakes Blvd Ste B
Shakopee, MN 55379-2829
Phone (612) 509-6681
Other providers in Shakopee, MN
- Aj Home Health Care Inc
- Durresamin Akhtar
- Alicia Marie Aldrich
- Lea Marie Alexander
- Ahmed Ali
- Muhammad Ali
- Nastaho Mohamed Ali
- All Eyes PLLC
- Susan M Allen
- Allina Health System
All providers in Shakopee, 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 Oct 11, 2023. 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.