Shamsa Ahmed Ali
Individual provider Active NPI Behavior Technician · Sartell, MN
NPI 1821828633 · NPPES record last updated Aug 6, 2024
Key facts
- NPI
- 1821828633
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 205 14TH Ave E
Sartell, MN 56377-4500 - Phone
- (320) 774-3436
- NPI assigned
- Aug 6, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northway Academy, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
205 14TH Ave E
Sartell, MN 56377-4500
Mailing address
205 14TH Ave E
Sartell, MN 56377-4500
Phone (320) 774-3436
Other providers in Sartell, MN
- Nadira Hassan Ahmed
- Adiatu Naomy Ajala
- Nicole Akerson
- Mubashir Mohamed Ali
- Safia Ali
- Ellen Ashley Allen
- Nicolette Anderson Allen
- Christi Elizabeth Alvord
- Ashley Lynn Anderson
- Jon Myren Anderson
All providers in Sartell, 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 Aug 6, 2024. 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.