Manal Mohamed Ali
Individual provider Active NPI Behavior Technician · Fridley, MN
NPI 1760198006 · NPPES record last updated Jan 30, 2023
Key facts
- NPI
- 1760198006
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 7205 University Ave NE
Fridley, MN 55432-3134 - Phone
- (612) 208-0729
- Fax
- (612) 354-3801
- NPI assigned
- Jan 30, 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 | MN | Yes |
Addresses
Primary practice location
7205 University Ave NE
Fridley, MN 55432-3134
Mailing address
5530 Regis Dr NE
Fridley, MN 55432-5937
Phone (952) 454-6316
Other providers in Fridley, MN
- Maryam Ali Artan
- Ahmed Ali
- Hamza Ali
- Hana Mohamed Ali
- Hassan Ali
- Muna Abdulkadir Ali
- Najmo Ahmed Ali
- Rakia Ali
- Roda Hussien Ali
- Sahro Ali
All providers in Fridley, 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 Jan 30, 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.