Hamdi Mohamed Ali

Individual provider Active NPI Behavior Technician · Lakeville, MN

NPI 1780423574 · NPPES record last updated May 21, 2024

Key facts

NPI
1780423574
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
10450 185TH St W Ste 100
Lakeville, MN 55044-6696
Phone
(612) 509-1283
NPI assigned
May 21, 2024
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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

10450 185TH St W Ste 100
Lakeville, MN 55044-6696

Mailing address

10450 185TH St W Ste 100
Lakeville, MN 55044-6696

Other providers in Lakeville, MN

All providers in Lakeville, MN · Behavior Technician in Minnesota

Sources for this page

Verify at the official NPI Registry.