Most Relevant Information
Provider Data
| NPI Number: | 1003523697 |
| Provider Name: | FATIMA MUHUDIN ALI |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/02/2022 |
| Last Updated: | 11/09/2022 |
Provider Practice Location
3333 UNIVERSITY AVE SE
MINNEAPOLIS
MN
554143325
Practice Location Phone/Fax
| Phone: | 6124759231 |
| Fax: |
Provider Mailing Location
2705 HERSCHEL ST N UNIT B421
ROSEVILLE
MN
551134499
Provider Mailing Phone/Fax
| Phone: | 6127677222 |
| Fax: |