Suhayb Nasser Ali

Individual provider Active NPI Behavior Technician · Fridley, MN

NPI 1487580445 · NPPES record last updated Jun 18, 2026

Key facts

NPI
1487580445
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1250 Moore Lake Dr E
Fridley, MN 55432-5134
Phone
(612) 790-6887
Fax
(763) 201-7865
NPI assigned
Jun 18, 2026
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

1250 Moore Lake Dr E
Fridley, MN 55432-5134

Mailing address

506 Bryant Ave N
Minneapolis, MN 55405-1387

Other providers in Fridley, MN

All providers in Fridley, MN · Behavior Technician in Minnesota

Sources for this page

Verify at the official NPI Registry.