Ali Ahmed

Individual provider Active NPI Behavior Technician · Bountiful, UT

NPI 1912732009 · NPPES record last updated Sep 6, 2024

Key facts

NPI
1912732009
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
415 Medical Dr Ste A100
Bountiful, UT 84010-4995
Phone
(801) 683-1062
NPI assigned
Sep 6, 2024
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

415 Medical Dr Ste A100
Bountiful, UT 84010-4995

Mailing address

415 Medical Dr Ste A100
Bountiful, UT 84010-4995
Phone (801) 683-1062

Other providers in Bountiful, UT

All providers in Bountiful, UT · Behavior Technician in Utah

Sources for this page

Verify at the official NPI Registry.