NPI 1104549575 · live from the CMS NPI Registry
Bisharo Ali
Behavior Analyst in Faribault, MN. National Provider Identifier 1104549575, active.
NPI record
| NPI | 1104549575 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 201 Lyndale Ave S Ste L3, Faribault, MN 55021 |
| Practice phone | 612-707-1718 |
| Enumerated | September 21, 2022 |
| Last updated | September 21, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.