NPI 1104549575

Bisharo Ali

Practitioner Behavior Analyst Faribault, MN

Practice location

Address: 201 Lyndale Ave S STE L3, Faribault, MN 55021-5758
Phone: (612) 707-1718

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X

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Registry record

NPI: 1104549575
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Sep 2022
Record last updated: 21 Sep 2022

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.