Most Relevant Information
Provider Data
| NPI Number: | 1003634833 |
| Provider Name: | AL-NASIR MUHAMMAD ALI JOHNSON |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | W383209086014 |
Most Important Dates
| Enumeration Date: | 10/01/2024 |
| Last Updated: | 10/01/2024 |
Provider Practice Location
88 CESAR CHAVEZ ST APT 233
SAINT PAUL
MN
551072397
Practice Location Phone/Fax
| Phone: | 6124070047 |
| Fax: |
Provider Mailing Location
88 CESAR CHAVEZ ST APT 233
SAINT PAUL
MN
551072397
Provider Mailing Phone/Fax
| Phone: | 6124776007 |
| Fax: |