NPI 1003634833

Al-Nasir Muhammad Ali Johnson

Practitioner Behavior Technician Saint Paul, MN

Practice location

Address: 88 Cesar Chavez St APT 233, Saint Paul, MN 55107-2397
Phone: (612) 407-0047

Registered specialties (3)

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence W383209086014 (MN)

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Behavior Analyst

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence W383209086014 (MN)

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Assistant Behavior Analyst

Behavioral Health & Social Service Providers Taxonomy 106E00000X Licence W383209086014 (MN)

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Registry record

NPI: 1003634833
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Oct 2024
Record last updated: 1 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.