Provider Demographics
NPI:1700677655
Name:AMRAN ALI
Entity type:Organization
Organization Name:AMRAN ALI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA LBA
Authorized Official - Prefix:
Authorized Official - First Name:AMRAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-318-4660
Mailing Address - Street 1:150 TYLER AVE N STE 235
Mailing Address - Street 2:
Mailing Address - City:HOPKINS
Mailing Address - State:MN
Mailing Address - Zip Code:55343-8582
Mailing Address - Country:US
Mailing Address - Phone:763-318-4660
Mailing Address - Fax:
Practice Address - Street 1:150 TYLER AVE N STE 235
Practice Address - Street 2:
Practice Address - City:HOPKINS
Practice Address - State:MN
Practice Address - Zip Code:55343-8582
Practice Address - Country:US
Practice Address - Phone:763-318-4660
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty