Individual
MR. AL-NASIR MUHAMMAD ALI JOHNSON I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
88 CESAR CHAVEZ ST APT 233, SAINT PAUL, MN 55107-2397
(612) 407-0047
Mailing address
88 CESAR CHAVEZ ST APT 233, SAINT PAUL, MN 55107-2397
(612) 477-6007
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
W383209086014
MN
106E00000X
Assistant Behavior Analyst
W383209086014
MN
106S00000X
Behavior Technician
Primary
W383209086014
MN
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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