Individual
ALI MUDEY OMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3055 OLD HIGHWAY 8 STE 101, ST ANTHONY, MN 55418-2495
(612) 259-7715
(612) 259-7889
Mailing address
3055 OLD HIGHWAY 8 STE 101, ST ANTHONY, MN 55418-2495
(612) 259-7715
(612) 259-7889
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/20/2020
Last updated
04/20/2020
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