Individual
BARENTO MAHDI ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
931 20TH AVE NE, MINNEAPOLIS, MN 55418-4652
(763) 324-8284
Mailing address
931 20TH AVE NE, MINNEAPOLIS, MN 55418-4652
(763) 324-8284
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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