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Fatima Muhudin Ali

Behavior Technician in Minneapolis, MN. Individual provider (NPI-1).

NPI number1003523697
StatusActive
Last updated in NPPESNov 9, 2022

Details

NPI
1003523697
Entity type
Individual (NPI-1)
Name
Fatima Muhudin Ali
Sex
Female
Sole proprietor
No
Enumeration date
Nov 2, 2022
Certification date
Nov 9, 2022
Last updated
Nov 9, 2022

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician–MNYes

Practice location

3333 University Ave Se
Minneapolis, MN 55414-3325

Phone 612-475-9231

Mailing address

2705 Herschel St N Unit B421
Roseville, MN 55113-4499

Phone 612-767-7222

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Behavior Technician providers in Minneapolis, MN

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