Individual
KHADIJAH ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 S ADDISON ST, BENSENVILLE, IL 60106-2126
(312) 600-5061
Mailing address
150 DERBY GLEN DR, GLEN ELLYN, IL 60137-3219
(312) 600-5061
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-441172
—
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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