MEDICARE: LINA ALI BCBA, COBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	COBA.01934	OH

General Provider Information

NPI Number	:	1679419931
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINA ALI BCBA, COBA

Provider Business Mailing Address
First Line	:	230 E LONG ST APT 358
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43215-3342
Country	:	US
Telephone Number	:	347-356-5229
Fax Number	:

Provider Business Practice Location Address
First Line	:	6096 E MAIN ST STE 112
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43213-4302
Country	:	US
Telephone Number	:	888-830-1672
Fax Number	:	732-982-2626

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2026
Last Update Date	:	04/28/2026

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