Individual
KHADIJAH ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CBHCMS
Contact information
Practice address
7901 4TH ST N STE 11046, ST PETERSBURG, FL 33702-4305
(850) 728-7007
Mailing address
7901 4TH ST N STE 11046, ST PETERSBURG, FL 33702-4305
(850) 728-7007
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CBHT100011
FL
171M00000X
Case Manager/Care Coordinator
Primary
CBHCMS.0102875
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CBHCMS.0102875
FLORIDA CERTIFICATION BOARD
FL
01
—
CBHT100011
FLORIDA CERTIFICATION BOARD
FL
Enumeration date
01/04/2017
Last updated
06/08/2026
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