Most Relevant Information
Provider Data
| NPI Number: | 1003641275 |
| Provider Name: | IKRAM H ALI |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/05/2024 |
| Last Updated: | 09/05/2024 |
Provider Practice Location
2400 PARK AVE STE 100
MINNEAPOLIS
MN
554043713
Practice Location Phone/Fax
| Phone: | 6126422666 |
| Fax: |
Provider Mailing Location
2400 PARK AVE STE 100
MINNEAPOLIS
MN
554043713
Provider Mailing Phone/Fax
| Phone: | 6126422666 |
| Fax: |