NPI 1245944933 · live from the CMS NPI Registry
Nastaho Mohamed Ali
Behavior Analyst in Shakopee, MN. National Provider Identifier 1245944933, active.
NPI record
| NPI | 1245944933 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 1360 Stagecoach Rd Unit 423, Shakopee, MN 55379 |
| Practice phone | 507-530-7077 |
| Mailing address | 145 Hamel Rd, Medina, MN 55340 |
| Enumerated | January 9, 2023 |
| Last updated | September 5, 2023 |
| Sole proprietor | Yes |
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.