NPI Code Details Logo

NPI 1699364612

NPI 1699364612 : AMEL KHALIFE RBT : WESTERVILLE, OH

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1699364612
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    AMEL KHALIFE RBT
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/14/2021
-----------------------------------------------------
    Last Update Date     |    11/14/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    773 BROOKSEDGE BLVD 
-----------------------------------------------------
    City                 |    WESTERVILLE
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    43081-2821
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    614-401-3366
-----------------------------------------------------
    Fax                  |    317-520-8200
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1649 61ST ST FL 3013 
-----------------------------------------------------
    City                 |    BROOKLYN
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    11204-2746
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    106E00000X
-----------------------------------------------------
    Taxonomy Name        |    Assistant Behavior Analyst
-----------------------------------------------------
    License Number       |    1-25-81032
-----------------------------------------------------
    License Number State |    SD
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.