Individual
ABDIJIBAR ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 LYNDALE AVE S, FARIBAULT, MN 55021-5799
(206) 504-0269
Mailing address
201 LYNDALE AVE S STE A, FARIBAULT, MN 55021-5799
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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