Sadiya Hussein Ali

Individual provider Active NPI Behavior Technician · Edina, MN

NPI 1609628155 · NPPES record last updated Apr 5, 2024

Key facts

NPI
1609628155
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
5624 Lincoln Dr Ste 295
Edina, MN 55436-1606
Phone
(952) 395-3322
NPI assigned
Apr 5, 2024
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
Ausome Development Center Inc Current
since Apr 9, 2024
Accepting new patients

Locations

5624 Lincoln Dr
Ste 295
Edina, MN 55436
Phone (612) 987-8022

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

5624 Lincoln Dr Ste 295
Edina, MN 55436-1606

Mailing address

5624 Lincoln Dr Ste 295
Edina, MN 55436-1606
Phone (952) 395-3322

Other providers in Edina, MN

All providers in Edina, MN · Behavior Technician in Minnesota

Sources for this page

Verify at the official NPI Registry.