Individual
ABDOULKADER ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
60 MARIE AVE E STE 202, WEST SAINT PAUL, MN 55118-5950
(651) 315-2321
Mailing address
320 BLAKE RD N APT 512, HOPKINS, MN 55343-8254
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z000120005200
STATE ID
MN
Enumeration date
05/29/2026
Last updated
06/26/2026
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