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NPI Code Detail

MEDICARE: AYA KADHOM ABBAS

MEDICARE: AYA KADHOM ABBAS
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
1106S00000XBehavior TechnicianMI
2106S00000XBehavior Technician
3106S00000XBehavior TechnicianRBT-20-120831MI
4103K00000XBehavior Analyst

General Provider Information

NPI Number : 1740830249
Entity Type Code : Individual
Provider Name (Legal Business Name) : AYA KADHOM ABBAS
Provider Business Mailing Address
First Line : 1519 S HIGLEY RD
Second Line :
City : GILBERT
State : AZ
Zip : 85296-4793
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1519 S HIGLEY RD
Second Line :
City : GILBERT
State : AZ
Zip : 85296-4793
Country : US
Telephone Number : 480-608-2781
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2019
Last Update Date : 04/11/2024

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Directions to “ AYA KADHOM ABBAS ” Practice Location

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