MEDICARE: RAHAF AL-NOUBANI BCABA

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	106E00000X	Assistant Behavior Analyst	0-24-15543	TX

General Provider Information

NPI Number	:	1740064674
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAHAF AL-NOUBANI BCABA

Provider Business Mailing Address
First Line	:	2384 HIGHWAY 287 N STE 220
Second Line	:
City	:	MANSFIELD
State	:	TX
Zip	:	76063-9207
Country	:	US
Telephone Number	:	817-477-6889
Fax Number	:

Provider Business Practice Location Address
First Line	:	2384 HIGHWAY 287 N STE 220
Second Line	:
City	:	MANSFIELD
State	:	TX
Zip	:	76063-9207
Country	:	US
Telephone Number	:	817-477-6889
Fax Number	:

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

Provider Enumeration Date	:	08/22/2023
Last Update Date	:	06/01/2026

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Directions to “ RAHAF AL-NOUBANI BCABA” Practice Location

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